Provider Demographics
NPI:1437351756
Name:BARTLEMAY, SUSAN E (RPH)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:E
Last Name:BARTLEMAY
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 1:400 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3630
Mailing Address - Country:US
Mailing Address - Phone:972-207-4922
Mailing Address - Fax:469-519-0343
Practice Address - Street 1:8282 PARK LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-6023
Practice Address - Country:US
Practice Address - Phone:214-987-0452
Practice Address - Fax:214-346-0401
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist