Provider Demographics
NPI:1114207743
Name:REINSCH, ALLYSON L (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:L
Last Name:REINSCH
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 1:1837 PARK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-2811
Mailing Address - Country:US
Mailing Address - Phone:952-237-9162
Mailing Address - Fax:
Practice Address - Street 1:600 W 79TH ST
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-8301
Practice Address - Country:US
Practice Address - Phone:952-252-1084
Practice Address - Fax:952-252-1087
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist