Healthcare Provider Details

I. General information

NPI: 1174257927
Provider Name (Legal Business Name): SUZANNE RENEE BELFIGLIO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 W ERIE PLZ
ERIE PA
16505-4535
US

IV. Provider business mailing address

407 WEDGEWOOD DR
ERIE PA
16505-1145
US

V. Phone/Fax

Practice location:
  • Phone: 814-454-7800
  • Fax:
Mailing address:
  • Phone: 814-923-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP035857L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: