Provider Demographics
NPI:1578874699
Name:SUGGS, CONNIE SUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:SUE
Last Name:SUGGS
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 1:646 COSBY HWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-3418
Mailing Address - Country:US
Mailing Address - Phone:423-237-6813
Mailing Address - Fax:423-237-6814
Practice Address - Street 1:646 COSBY HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3418
Practice Address - Country:US
Practice Address - Phone:423-237-6813
Practice Address - Fax:423-237-6814
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist