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NPI Code Detail

MEDICARE: DR. SUSAN MAUREEN LOUGHLIN PHARM.D.

MEDICARE: DR. SUSAN MAUREEN LOUGHLIN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist42490TX

General Provider Information

NPI Number : 1942292966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN MAUREEN LOUGHLIN PHARM.D.
Provider Business Mailing Address
First Line : 4039 VILLANOVA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-3643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 MOURSUND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3405
Country : US
Telephone Number : 713-797-5288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 04/26/2012

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