Individual
SUSAN HEEMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N 4TH ST, SUNBURY, PA 17801-1238
(570) 286-0276
Mailing address
730 SUNSET LN, NORTHUMBERLAND, PA 17857-9653
(570) 847-6142
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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