Provider Demographics
NPI:1033483698
Name:SUTTON, EMILY M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:M
Last Name:SUTTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 HIGHLAND RD STE 7
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2244
Mailing Address - Country:US
Mailing Address - Phone:330-405-7040
Mailing Address - Fax:330-405-7044
Practice Address - Street 1:1750 HIGHLAND RD STE 7
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2244
Practice Address - Country:US
Practice Address - Phone:330-405-7040
Practice Address - Fax:330-405-7044
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03223753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist