Provider Demographics
NPI:1013513100
Name:SUTTERLIN, GARY EDWARD (RPH)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:EDWARD
Last Name:SUTTERLIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 MILL RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1661
Mailing Address - Country:US
Mailing Address - Phone:215-534-1371
Mailing Address - Fax:215-794-8050
Practice Address - Street 1:2567 MILL RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1661
Practice Address - Country:US
Practice Address - Phone:215-534-1371
Practice Address - Fax:215-794-8050
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI0050831835P2201X
PARP038686L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care