Provider Demographics
NPI:1568526283
Name:HARDING, SUZANNE (RPH)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:HARDING
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 1:31040 N RANCHO TIERRA DR
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5909
Mailing Address - Country:US
Mailing Address - Phone:480-488-5805
Mailing Address - Fax:
Practice Address - Street 1:55555 WEST THUNDERBIRD ROAD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306
Practice Address - Country:US
Practice Address - Phone:602-865-5710
Practice Address - Fax:602-865-6097
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist