Individual
SUSAN ELAINE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2110 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6506
(817) 421-7487
(817) 251-8715
Mailing address
2109 BRENTCOVE DR, GRAPEVINE, TX 76051-7827
(817) 975-5668
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
40892
TX
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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