Provider Demographics
NPI:1821468661
Name:STERLING, SUZANNE E (RPH)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:STERLING
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 1:35 MIKE STEWART
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-1164
Mailing Address - Country:US
Mailing Address - Phone:850-926-2881
Mailing Address - Fax:
Practice Address - Street 1:35 MIKE STEWART
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-1164
Practice Address - Country:US
Practice Address - Phone:850-926-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY44395183500000X
CT10272183500000X
FLPS63118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist