Provider Demographics
NPI:1043300981
Name:STIRLING, SUZANNE J (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:J
Last Name:STIRLING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:SUE
Other - Middle Name:J
Other - Last Name:STIRLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:3934 IRISH BEND RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3141
Mailing Address - Country:US
Mailing Address - Phone:337-828-7712
Mailing Address - Fax:
Practice Address - Street 1:1419 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3722
Practice Address - Country:US
Practice Address - Phone:337-828-0950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist