SUSAN ELIZABETH JEFFERSON

WRIGHT PATTERSON AFB, OH
NPI1760564280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OH  03-2-21176)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
Ms. SUSAN ELIZABETH JEFFERSON Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5546
Phone number: 937-257-0837
Mailing Address
Ms. SUSAN ELIZABETH JEFFERSON Pharmacist
145 E. WALNUT STREET
ST. PARIS, OH 43072
Phone number: 937-668-5732