Provider Demographics
NPI:1235257007
Name:HUFF, MARY SUZANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:SUZANNE
Last Name:HUFF
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 1:2340 NW 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-9115
Mailing Address - Country:US
Mailing Address - Phone:515-597-4100
Mailing Address - Fax:515-597-4104
Practice Address - Street 1:303 S. HIGHWAY 69
Practice Address - Street 2:SUITE B
Practice Address - City:HUXLEY
Practice Address - State:IA
Practice Address - Zip Code:50124
Practice Address - Country:US
Practice Address - Phone:515-597-4100
Practice Address - Fax:515-597-4104
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist