Provider Demographics
NPI:1912207085
Name:CAULFIELD, SUZANNE MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:MARIE
Last Name:CAULFIELD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:SUZANNE
Other - Middle Name:MARIE
Other - Last Name:BRACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 SPARTAN RD
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2333
Mailing Address - Country:US
Mailing Address - Phone:301-774-7309
Mailing Address - Fax:301-774-1084
Practice Address - Street 1:17902 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2272
Practice Address - Country:US
Practice Address - Phone:301-924-9223
Practice Address - Fax:301-924-1853
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist