Provider Demographics
NPI:1619298122
Name:SELTZER, SUSAN H (RPH)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:H
Last Name:SELTZER
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 1:1008 LATROBE THIRTY PLZ
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2850
Mailing Address - Country:US
Mailing Address - Phone:724-539-3353
Mailing Address - Fax:724-539-0415
Practice Address - Street 1:1008 LATROBE THIRTY PLZ
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2850
Practice Address - Country:US
Practice Address - Phone:724-539-3353
Practice Address - Fax:724-539-0415
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034861L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist