Susan Jane Nilsen, RPH is a
Pharmacist based in Desmet, South Dakota. Susan Jane Nilsen is licensed to practice in South Dakota (license number R4739) and her current practice location is
201 Calumet Ave, Desmet, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 854-3861.
NPI number for Susan Jane Nilsen is 1679618987 and her current mailing address is 103 14th St Ne, Watertown, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679618987.
Healthcare Provider's Profile
| Full Name | Susan Jane Nilsen |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 201 Calumet Ave, Desmet, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679618987
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan Jane Nilsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679618987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | R4739 (South Dakota) | Primary |
| 183500000X | Pharmacist | 3599 (North Dakota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Jane Nilsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Jane Nilsen, RPH
103 14th St Ne,
Watertown, SD 57201-2818
Ph: (605) 886-2830 | Susan Jane Nilsen, RPH
201 Calumet Ave,
Desmet, SD 57231
Ph: (605) 854-3861 |
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