Provider Demographics
NPI:1659670230
Name:BYERS, SUSAN S (RPH)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:S
Last Name:BYERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:J
Other - Last Name:SABICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:980 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-1914
Mailing Address - Country:US
Mailing Address - Phone:717-838-8878
Mailing Address - Fax:717-832-3499
Practice Address - Street 1:980 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-1914
Practice Address - Country:US
Practice Address - Phone:717-838-8878
Practice Address - Fax:717-832-3499
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038447L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist