Most Relevant Information
Provider Data
| NPI Number: | 1003584558 |
| Provider Name: | SUZANNE RUTH ROBERTS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26015289A |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
5653 BAILEY GRANT RD
JEFFERSONVILLE
IN
471308608
Practice Location Phone/Fax
| Phone: | 5025584307 |
| Fax: |
Provider Mailing Location
5653 BAILEY GRANT RD
JEFFERSONVILLE
IN
471308608
Provider Mailing Phone/Fax
| Phone: | 5025584307 |
| Fax: |