Healthcare Provider Details

I. General information

NPI: 1891617171
Provider Name (Legal Business Name): SUZANNE MCCLANAHAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 GOLF ACRES DR
CHARLOTTE NC
28208-5968
US

IV. Provider business mailing address

103 STEUBEN DR
HUNTERSVILLE NC
28078-9313
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-6057
  • Fax:
Mailing address:
  • Phone: 704-512-6057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26860
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: