Provider Demographics
NPI:1982920351
Name:RHUDE, SUE ANN
Entity type:Individual
Prefix:
First Name:SUE ANN
Middle Name:
Last Name:RHUDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9336 N CAMINO DE PLZ
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8831
Mailing Address - Country:US
Mailing Address - Phone:520-544-9669
Mailing Address - Fax:
Practice Address - Street 1:10450 N LA CANADA DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-7027
Practice Address - Country:US
Practice Address - Phone:520-877-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist