Susan L Ponce, PHARMD is a
Pharmacist based in Avalon, California. Susan L Ponce is licensed to practice in California (license number 39705) and her current practice location is
401 Crescent Ave, Avalon, California. She can be reached at her office (for appointments etc.) via phone at
(310) 510-0189.
NPI number for Susan L Ponce is 1518959683 and her current mailing address is Po Box 851, Avalon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518959683.
Healthcare Provider's Profile
| Full Name | Susan L Ponce |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 401 Crescent Ave, Avalon, California |
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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: 1518959683
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan L Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518959683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 39705 (California) | Primary |
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 L Ponce 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 L Ponce, PHARMD
Po Box 851,
Avalon, CA 90704-0851
Ph: (310) 510-0189 | Susan L Ponce, PHARMD
401 Crescent Ave,
Avalon, CA 90704
Ph: (310) 510-0189 |
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