Gary Wayne Suresch
NPI #1225300890 in Crystal River, Florida
Provider Information
- NPI Number
- 1225300890
- Entity Type
- Individual
- Name
- Gary Wayne Suresch
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 30, 2012
- Last Updated
- Jan 30, 2012
Practice Location
- Address
- 310 NE US HIGHWAY 19
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4235
- Phone
- (352) 563-0966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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