Susan Virginia Koontz, PHARMD is a
Pharmacist based in Fort White, Florida. Susan Virginia Koontz is licensed to practice in Florida (license number PS55210) and her current practice location is
152 Sw Sierra Ct, Fort White, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 494-9291.
NPI number for Susan Virginia Koontz is 1215586110 and her current mailing address is 152 Sw Sierra Ct, Fort White, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215586110.
Healthcare Provider's Profile
| Full Name | Susan Virginia Koontz |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 152 Sw Sierra Ct, Fort White, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215586110
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 09/04/2019
Medical Identifiers
Medical identifiers for Susan Virginia Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215586110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS55210 (Florida) | 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 Virginia Koontz 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 Virginia Koontz, PHARMD
152 Sw Sierra Ct,
Fort White, FL 32038-2772
Ph: (352) 494-9291 | Susan Virginia Koontz, PHARMD
152 Sw Sierra Ct,
Fort White, FL 32038-2772
Ph: (352) 494-9291 |
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