Individual provider · Type 1 NPI
Susannah Sport
Pharmacist · Luverne, AL
Practice location
1440 S Forest Ave
Luverne, AL 36049-7330
Mailing address
PO Box 126
Brantley, AL 36009-0126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 21522 (AL) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
2 other providers at this address
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- Matt Colley Jr., R.PH.Pharmacist Luverne, AL NPI 1568842367
- Clemont Carpenter, R.PH.Pharmacist Luverne, AL NPI 1598847089
- Merrill CulverhousePharmacist Luverne, AL NPI 1659984888
- Honesty Renee Cockrell, PharmDPharmacist Luverne, AL NPI 1730460189
About NPI 1972115178
Susannah Sport's National Provider Identifier is 1972115178, issued on Aug 19, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Luverne, AL. The record was last updated on Aug 19, 2020.