Healthcare Provider Details

I. General information

NPI: 1700362472
Provider Name (Legal Business Name): MORGAN SUZANNE BEHAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN SUZANNE BRAUNER PHARMD

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 HIGHLAND AVE
CINCINNATI OH
45219-2399
US

IV. Provider business mailing address

2739 RED TAIL LN
MASON OH
45040-9658
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-0408
  • Fax:
Mailing address:
  • Phone: 614-906-1592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03337346
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: