Provider Demographics
NPI:1821630864
Name:AULOVA, SUZANNA (PHARM D)
Entity Type:Individual
Prefix:
First Name:SUZANNA
Middle Name:
Last Name:AULOVA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:SUZANNA
Other - Middle Name:
Other - Last Name:AULOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 KENT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-2993
Mailing Address - Country:US
Mailing Address - Phone:929-397-0331
Mailing Address - Fax:929-397-0332
Practice Address - Street 1:121 KENT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-2993
Practice Address - Country:US
Practice Address - Phone:929-397-0331
Practice Address - Fax:929-397-0332
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78311183500000X
NY066602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist