Individual
SIDNEY WILLIAMS SUSTARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 3RD ST, NEW MARTINSVILLE, WV 26155-1554
(304) 455-1790
Mailing address
477 W 39TH ST, SHADYSIDE, OH 43947-1158
(334) 322-5232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013329
WV
Other
Enumeration date
07/30/2019
Last updated
02/08/2023
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