Susan Willis, PHARM D is a
Pharmacist based in Mooreville, Mississippi. Susan Willis is licensed to practice in Mississippi (license number E-08637) and her current practice location is
712 Highway 371, Mooreville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 840-5601.
NPI number for Susan Willis is 1669956553 and her current mailing address is 146 Drive 1375, Mooreville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669956553.
Healthcare Provider's Profile
| Full Name | Susan Willis |
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| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 712 Highway 371, Mooreville, Mississippi |
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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: 1669956553
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 02/25/2020
Medical Identifiers
Medical identifiers for Susan Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669956553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | E-08637 (Mississippi) | 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 Willis 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 Willis, PHARM D
146 Drive 1375,
Mooreville, MS 38857-7209
Ph: () - | Susan Willis, PHARM D
712 Highway 371,
Mooreville, MS 38857-7356
Ph: (662) 840-5601 |
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