Susko, Gregory John

Susko, Gregory John is an individual health care provider with primary practice located at 4332 Cleveland Ave Nw , Canton OH 44709-2352. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Susko, Gregory John can be contacted via phone (330) 649-9709.

Contact Information

Primary practice address
4332 Cleveland Ave Nw Canton OH 44709-2352
Phone: (330) 649-9709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-2-16764 Ohio

Profile Details

NPI number 1356331706
LBN Legal business name Susko, Gregory John
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Nov 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356331706 NPPES
Ohio Other 3673919 NCPDP

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