| Susannah Sport, | |
|
1440 S Forest Ave, Luverne, AL 36049-7330 | |
| (334) 335-5888 | |
| Not Available |
| Full Name | Susannah Sport |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 1440 S Forest Ave, Luverne, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972115178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 21522 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah Sport, Po Box 126, Brantley, AL 36009-0126 Ph: () - | Susannah Sport, 1440 S Forest Ave, Luverne, AL 36049-7330 Ph: (334) 335-5888 |
Alan Foster Carpenter, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6553 Fax: 334-335-6554 | |
Donita Elaine Setters, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1402 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6188 Fax: 334-335-2881 | |
Amber Boutwell, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1402 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6188 | |
Mr. Matt Colley Jr., R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1402 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6188 | |
Clemont Carpenter, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6553 Fax: 334-335-6554 | |
Merrill Culverhouse, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1440 S Forest Ave, Luverne, AL 36049 Phone: 334-335-5888 Fax: 334-335-4713 | |
Honesty Renee Cockrell, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1402 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6188 |