Provider Demographics
NPI:1790374627
Name:SUTER-LOWE, SUZANNE M (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:SUTER-LOWE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1712
Mailing Address - Country:US
Mailing Address - Phone:443-745-2373
Mailing Address - Fax:
Practice Address - Street 1:4315 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-4560
Practice Address - Country:US
Practice Address - Phone:410-439-2104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist