Susong-Sydnor INC
NPI #1790860088 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1790860088
- Entity Type
- Organization
- Organization Name
- Susong-Sydnor INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Feb 15, 2012
Practice Location
- Address
- 1305 TUSCULUM BLVD # B
- Address 2
- STE 2
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37745-4160
- Phone
- (423) 639-5134
Authorized Official
- Name
- CHARLES SUSONG, PHARMD
- Title
- PRESIDENT
- Phone
- (423) 639-8631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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