Provider Demographics
NPI:1437447711
Name:SUTHERBY, ROSANNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:
Last Name:SUTHERBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ROSANNA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:706 RUSKIN DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1150
Mailing Address - Country:US
Mailing Address - Phone:336-886-2367
Mailing Address - Fax:
Practice Address - Street 1:1131 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-5749
Practice Address - Country:US
Practice Address - Phone:336-474-8900
Practice Address - Fax:336-475-9272
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist