Healthcare Provider Details

I. General information

NPI: 1912817123
Provider Name (Legal Business Name): CATHERINE SUZANNE SURY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE SUZANNE WHITE

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N 190TH PLZ
ELKHORN NE
68022-3974
US

IV. Provider business mailing address

20015 DEWEY AVE
ELKHORN NE
68022-2768
US

V. Phone/Fax

Practice location:
  • Phone: 402-815-1261
  • Fax:
Mailing address:
  • Phone: 785-764-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17394
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: