DR. Susan Masareth

NPI #1043587520 in Champaign, Illinois

Provider Information

NPI Number: 1043587520
Entity Type: Individual
Name: DR. Susan Masareth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 28, 2011
Last Updated: Mar 12, 2013

Practice Location

Address: 2402 VILLAGE GREEN PL
City: Champaign
State: Illinois
ZIP Code: 61822-7681
Phone: (217) 398-2764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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