Mr Kenneth Henry Sue, RPH in Alameda, CA - Pharmacist

Mr Kenneth Henry Sue, RPH is a Pharmacist based in Alameda, California. Mr Kenneth Henry Sue is licensed to practice in California (license number CA30391) and his current practice location is 2300 Otis Dr, Alameda, California. He can be reached at his office (for appointments etc.) via phone at (510) 523-7043.

NPI number for Mr Kenneth Henry Sue is 1093097156 and his current mailing address is 2300 Otis Dr, Alameda, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093097156.

Contact Information

	Mr Kenneth Henry Sue, RPH
	2300 Otis Dr, Alameda, CA 94501-5722
	(510) 523-7043
	(510) 523-7021

Healthcare Provider's Profile

Full Name	Mr Kenneth Henry Sue
Gender	Male
Speciality	Pharmacist
Location	2300 Otis Dr, Alameda, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1093097156
Provider Enumeration Date: 09/14/2011
Last Update Date: 09/14/2011

Medical Identifiers

Medical identifiers for Mr Kenneth Henry Sue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093097156	NPI	-	NPPES
361924025	Other	CA	PHARMACIST
361924025	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	CA30391 (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. Mr Kenneth Henry Sue 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
Mr Kenneth Henry Sue, RPH 2300 Otis Dr, Alameda, CA 94501-5722 Ph: (510) 523-7043	Mr Kenneth Henry Sue, RPH 2300 Otis Dr, Alameda, CA 94501-5722 Ph: (510) 523-7043

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Pharmacist in Alameda, CA

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Dr. Peter Kim, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1916 Webster St, Alameda, CA 94501 Phone: 510-864-2800 Fax: 510-864-2869
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Mr Kenneth Henry Sue, RPH - Pharmacist in Alameda, CA