Eva Susi Mulyawati, RPH - Pharmacist in Alpine, CA

Eva Susi Mulyawati, RPH is a Pharmacist based in Alpine, California. Eva Susi Mulyawati is licensed to practice in California (license number RPH 58064) and her current practice location is 1665 Alpine Boulevard, Alpine, California. She can be reached at her office (for appointments etc.) via phone at (619) 659-1085.

NPI number for Eva Susi Mulyawati is 1285755751 and her current mailing address is 4127 Mandarin Terrace, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285755751.

Contact Information

Eva Susi Mulyawati, RPH
1665 Alpine Boulevard,
Alpine, CA 92101-3859
(619) 659-1085
(619) 659-5738

Healthcare Provider's Profile

Full NameEva Susi Mulyawati
GenderFemale
SpecialityPharmacist
Location1665 Alpine Boulevard, Alpine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285755751
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Eva Susi Mulyawati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285755751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RPH 58064 (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. Eva Susi Mulyawati 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 AddressPractice Location Address
Eva Susi Mulyawati, RPH
4127 Mandarin Terrace,
San Diego, CA 92115-6054

Ph: (619) 659-1085
Eva Susi Mulyawati, RPH
1665 Alpine Boulevard,
Alpine, CA 92101-3859

Ph: (619) 659-1085

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› Verified 7 days ago


Pharmacist in Alpine, CA

Jemma B Felix-john Charles, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1665 Alpine Blvd, Alpine, CA 91901
Phone: 619-659-1085    
Victor Norman Sell,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1385 Tavern Rd, Alpine, CA 91901
Phone: 619-445-6904    
Lindsay Ann Varley, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1665 Alpine Blvd, Alpine, CA 91901
Phone: 619-659-1085    
Hoa Ma,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2955 Alpine Blvd, Alpine, CA 91901
Phone: 619-445-0601    
Mrs. Orly Shakked, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1385 Tavern Rd, Alpine, CA 91901
Phone: 619-445-6900    
Brianna Lai,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1385 Tavern Rd, Alpine, CA 91901
Phone: 619-445-6903    

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