Provider Demographics
NPI:1164903381
Name:GIYANANI, SUZANNE SCOTT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:SCOTT
Last Name:GIYANANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W WASHINGTON SQ APT 3609
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3538
Mailing Address - Country:US
Mailing Address - Phone:915-203-5121
Mailing Address - Fax:
Practice Address - Street 1:200 W WASHINGTON SQ APT 3609
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3538
Practice Address - Country:US
Practice Address - Phone:915-203-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4455851835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist