Provider Demographics
NPI:1285125799
Name:REINHARDT, KAITLYN ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ANN
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 REDLEIN DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1049
Mailing Address - Country:US
Mailing Address - Phone:716-907-3884
Mailing Address - Fax:
Practice Address - Street 1:2545 MILLERSPORT HWY
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1445
Practice Address - Country:US
Practice Address - Phone:716-907-3884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist