Provider Demographics
NPI:1093923062
Name:HURRELL, SUSAN N (PHARM D)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:N
Last Name:HURRELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 HAMPTON MDWS
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1820
Mailing Address - Country:US
Mailing Address - Phone:603-929-1571
Mailing Address - Fax:603-929-1572
Practice Address - Street 1:72 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-2490
Practice Address - Country:US
Practice Address - Phone:603-964-5105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1300183500000X
NY028751183500000X
MEPR4930183500000X
FLPS15668183500000X
CARPH31303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist