| NPI | 1073698361 |
|---|---|
| Doing Business As | SUSONG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES SUSONG President 423-639-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 177) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-02-15 |