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NPI Code Detail

MEDICARE: MRS. SUSAN ADAIR GUPTON RPH

MEDICARE: MRS. SUSAN ADAIR GUPTON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11345NC

General Provider Information

NPI Number : 1245643022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN ADAIR GUPTON RPH
Provider Business Mailing Address
First Line : G120 MORGANTON HEIGHTS BLVD
Second Line :
City : MORGANTON
State : NC
Zip : 28655-5210
Country : US
Telephone Number : 828-433-8088
Fax Number : 828-438-0362
Provider Business Practice Location Address
First Line : G120 MORGANTON HEIGHTS BLVD
Second Line :
City : MORGANTON
State : NC
Zip : 28655-5210
Country : US
Telephone Number : 828-433-8088
Fax Number : 828-438-0362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 04/30/2020

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Directions to “ MRS. SUSAN ADAIR GUPTON RPH” Practice Location

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