Individual
SUSAN ROSE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10576 KENAI SPUR HWY, KENAI, AK 99611-7811
(907) 283-6360
(907) 283-6319
Mailing address
PO BOX 2659, KENAI, AK 99611-2659
(907) 283-6360
(907) 283-6319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1565
AK
Other
Enumeration date
11/14/2010
Last updated
11/14/2010
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