Provider Demographics
NPI:1356908164
Name:MORRISON-PEIPPO, SUSAN RENEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:RENEE
Last Name:MORRISON-PEIPPO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E HWY 120 STE 101
Mailing Address - Street 2:
Mailing Address - City:POTTSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75076-7801
Mailing Address - Country:US
Mailing Address - Phone:903-786-2006
Mailing Address - Fax:903-355-2361
Practice Address - Street 1:111 E HWY 120 STE 101
Practice Address - Street 2:
Practice Address - City:POTTSBORO
Practice Address - State:TX
Practice Address - Zip Code:75076-7801
Practice Address - Country:US
Practice Address - Phone:903-786-2006
Practice Address - Fax:903-355-2361
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist