Individual
DR. SUZANNE MARIE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
20 13TH ST, HAVRE, MT 59501-5222
(406) 262-1756
(406) 262-1628
Mailing address
3233 CLEAR CREEK RD, HAVRE, MT 59501-8159
(406) 265-2888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033-0003635
VT
183500000X
Pharmacist
10929
AZ
183500000X
Pharmacist
Primary
5204
MT
183500000X
Pharmacist
RPH 48224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033-0003635
VERMONT STATE LICENSE
VT
01
—
10929
ARIZONA STATE LICENSE
AZ
01
—
5204
MONTANA STATE LICENSE
MT
01
—
RPH 48224
CALIFORNIA STATE LICENSE
CA
Enumeration date
09/24/2006
Last updated
07/08/2007
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