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Individual

MS. SUSAN L CERRILLO

Active
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Individual

MS. SUSAN L CERRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Taxonomy

Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
PH60081366
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH60081366
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH60081366
WA

Other

Enumeration date
04/05/2012
Last updated
04/05/2012
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