Provider Demographics
NPI:1164554598
Name:ROHN, SUZANNE TERESA (RPH)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:TERESA
Last Name:ROHN
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:PO BOX 1562
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-1562
Mailing Address - Country:US
Mailing Address - Phone:360-299-8028
Mailing Address - Fax:360-299-8028
Practice Address - Street 1:1708 SOUTH YAKIMA
Practice Address - Street 2:SUITE 201 CENTURY PLAZA PHARMACY
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-426-4205
Practice Address - Fax:253-426-6420
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist