Provider Demographics
NPI:1497051585
Name:SUESS, KARIN ANDREA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ANDREA
Last Name:SUESS
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 1:100 BRANDYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-9083
Mailing Address - Country:US
Mailing Address - Phone:910-892-4762
Mailing Address - Fax:
Practice Address - Street 1:225 GREEN ST
Practice Address - Street 2:SYSTEL BUILDING SUITE 1006
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5045
Practice Address - Country:US
Practice Address - Phone:910-223-3015
Practice Address - Fax:910-485-7238
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16406183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist