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Suzan Nusseibeh, Pharmacist

Pharmacist in Coon Rapids, MN. Individual provider (NPI-1).

NPI number1982209391
StatusActive
Last updated in NPPESDec 31, 2020

Details

NPI
1982209391
Entity type
Individual (NPI-1)
Name
Mrs. Suzan Nusseibeh
Credential
Pharmacist
Sex
Female
Sole proprietor
No
Enumeration date
Dec 2, 2020
Certification date
Dec 31, 2020
Last updated
Dec 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist123808MNYes

Practice location

3470 River Rapids Dr Nw
Coon Rapids, MN 55448-4101

Phone 763-427-1156

Mailing address

1125 Creekwood Dr N
Champlin, MN 55316-1650

Phone 763-291-8090

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