Provider Demographics
NPI:1568672632
Name:SAUSEN, VERRA OLGA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:VERRA
Middle Name:OLGA
Last Name:SAUSEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1807
Mailing Address - Country:US
Mailing Address - Phone:757-686-4793
Mailing Address - Fax:
Practice Address - Street 1:3633 BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1807
Practice Address - Country:US
Practice Address - Phone:757-686-4793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14254183500000X
CA56929183500000X
VA0202208090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist