NPI 1043595119

Susan Coady

Practitioner Pharmacist Racine, WI

Practice location

Address: 1920 Douglas Ave, Racine, WI 53402-4614
Phone: (262) 633-4948
Mailing address: 7 Eifler CT, Racine, WI 53402-2384

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 12028-040 (WI)

Other Pharmacist providers in Wisconsin →

Registry record

NPI: 1043595119
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2011
Record last updated: 19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.