MS. Susan Elizabeth Jefferson I, PHARMACIST

NPI #1760564280 in Wright Patterson Afb, Ohio

Provider Information

NPI Number: 1760564280
Entity Type: Individual
Name: MS. Susan Elizabeth Jefferson I, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Oct 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wright Patterson Afb
State: Ohio
ZIP Code: 45433-5546
Phone: (937) 257-0837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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