Individual
GREGORY JOHN SUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4332 CLEVELAND AVE NW, CANTON, OH 44709-2352
(330) 649-9709
Mailing address
6437 MEADOWSWEET AVE NW, CANTON, OH 44718-3937
(330) 966-1370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-16764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3673919
NCPDP
OH
Enumeration date
10/26/2005
Last updated
11/05/2007
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