Provider Demographics
NPI:1720266091
Name:MORIARITY-SUGGS, COLEEN NOELL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:COLEEN
Middle Name:NOELL
Last Name:MORIARITY-SUGGS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W MINERAL KING AVE
Mailing Address - Street 2:DEPARTMENT OF PHARMACY
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6237
Mailing Address - Country:US
Mailing Address - Phone:559-624-6607
Mailing Address - Fax:559-635-4031
Practice Address - Street 1:400 W MINERAL KING AVE
Practice Address - Street 2:DEPARTMENT OF PHARMACY
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6237
Practice Address - Country:US
Practice Address - Phone:559-624-6607
Practice Address - Fax:559-635-4031
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH46335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist