Individual
ANDREW SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25403
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25403
MARYLAND STATE BOARD OF PHARMACY
MD
Enumeration date
01/09/2018
Last updated
01/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us