Provider Demographics
NPI:1063734440
Name:CUMMINGS, SUSAN A (RPH)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 W TILGHMAN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3211
Mailing Address - Country:US
Mailing Address - Phone:610-395-2329
Mailing Address - Fax:610-395-9850
Practice Address - Street 1:4701 W TILGHMAN ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3211
Practice Address - Country:US
Practice Address - Phone:610-395-2329
Practice Address - Fax:610-395-9850
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027695L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist