Provider Demographics
NPI:1265652366
Name:COWHEY, SUSANNE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNE
Middle Name:
Last Name:COWHEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SUSANNE
Other - Middle Name:
Other - Last Name:GIBBONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:29 RADCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2653
Mailing Address - Country:US
Mailing Address - Phone:215-345-7339
Mailing Address - Fax:
Practice Address - Street 1:73 OLD DUBLIN PIKE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-622-2035
Practice Address - Fax:215-622-2022
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP0044191L183500000X
PARPI0000171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP044191LOtherSTATE PHARMACY LICENSE