Individual
MRS. SUZANNE MARY LUNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2101 E EVERGREEN DR, APPLETON, WI 54913-9001
(920) 733-2305
Mailing address
2101 E EVERGREEN DR, APPLETON, WI 54913-9001
(920) 733-2305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10069-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069-40
WISCONSIN PHARMACY LISCENSE
WI
Enumeration date
05/18/2013
Last updated
05/18/2013
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