Individual
DR. BRANDON SUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5001 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1308
(505) 881-5210
Mailing address
1922 CLEOPATRA CT NE, ALBUQUERQUE, NM 87112-3504
(312) 998-6703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009394
NM
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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