Healthcare Provider Details

I. General information

NPI: 1891625315
Provider Name (Legal Business Name): SUZANNE LERNOR BERMAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 N CAMINO DE MICHAEL
TUCSON AZ
85718-2715
US

IV. Provider business mailing address

6151 N CAMINO DE MICHAEL
TUCSON AZ
85718-2715
US

V. Phone/Fax

Practice location:
  • Phone: 602-292-5953
  • Fax: 520-297-2333
Mailing address:
  • Phone: 602-292-5953
  • Fax: 520-297-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAZ6232
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: