Susan Marie Ralston, RPH is a
Pharmacist based in Upland, Indiana. Susan Marie Ralston is licensed to practice in Indiana (license number 26015029A) and her current practice location is
1809 S Main St, Upland, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 998-8072.
NPI number for Susan Marie Ralston is 1902996390 and her current mailing address is 4334 E 1200 S, Warren, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902996390.
Healthcare Provider's Profile
Full Name | Susan Marie Ralston |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 1809 S Main St, Upland, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902996390
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 11/16/2015
Medical Identifiers
Medical identifiers for Susan Marie Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902996390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 26015029A (Indiana) | 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 Marie Ralston 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 Marie Ralston, RPH 4334 E 1200 S, Warren, IN 46792-9619 Ph: (260) 375-2089 | Susan Marie Ralston, RPH 1809 S Main St, Upland, IN 46989 Ph: (765) 998-8072 |
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