Provider Demographics
NPI:1710252655
Name:COOLEY, SUZANNE (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:COOLEY
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6108 CHENNAULT BEACH DR
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-4664
Mailing Address - Country:US
Mailing Address - Phone:317-902-9704
Mailing Address - Fax:
Practice Address - Street 1:6108 CHENNAULT BEACH DR
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-4664
Practice Address - Country:US
Practice Address - Phone:317-902-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-10
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other