NINA SUSSMAN

POLSON, MT
NPI1427525518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MT  71154)
Additional Taxonomies183500000X Pharmacist
(Licence: ID  P8935)
183500000X Pharmacist
(Licence: NV  20032)
Enumeration Date2018-10-27
Last Update Date2020-11-21
Business Address
NINA SUSSMAN
36318 MEMORY LN
POLSON, MT 59860-7265
Phone number: 406-883-9221
Mailing Address
NINA SUSSMAN
36248 TURTLE LAKE RD
POLSON, MT 59860-8166
Phone number: 406-529-0235