Provider Demographics
NPI:1316045131
Name:ROTELLA, DENISE L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:L
Last Name:ROTELLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:L
Other - Last Name:RESCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:45 REHM RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1067
Mailing Address - Country:US
Mailing Address - Phone:716-681-5535
Mailing Address - Fax:
Practice Address - Street 1:45 REHM RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-1067
Practice Address - Country:US
Practice Address - Phone:716-681-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist