Provider Demographics
NPI:1972597011
Name:WALTON, SUZANNE M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:M
Last Name:WALTON
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:1420 CARIBOU WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3637
Mailing Address - Country:US
Mailing Address - Phone:770-844-3848
Mailing Address - Fax:770-844-3424
Practice Address - Street 1:1200 NORTHSIDE FORSYTH DR
Practice Address - Street 2:DEPARTMENT OF PHARMACEUTICAL SERVICES
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7659
Practice Address - Country:US
Practice Address - Phone:770-844-3848
Practice Address - Fax:770-844-3424
Is Sole Proprietor?:No
Enumeration Date:2005-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARPH0195621835P1200X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology