Provider Demographics
NPI:1730479908
Name:MORELL, SUSAN C (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:C
Last Name:MORELL
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 1:356 TIMBER RUN DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-7624
Mailing Address - Country:US
Mailing Address - Phone:330-533-6033
Mailing Address - Fax:
Practice Address - Street 1:5498 MAHONING AVE
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2418
Practice Address - Country:US
Practice Address - Phone:330-793-4409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03322028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist