Mrs Susara A Ten Brink, in Ukiah, CA - Pharmacist

Mrs Susara A Ten Brink, is a Pharmacist based in Ukiah, California. Mrs Susara A Ten Brink is licensed to practice in California (license number 56496) and her current practice location is 1315 N State St, Ukiah, California. She can be reached at her office (for appointments etc.) via phone at (707) 468-5156.

NPI number for Mrs Susara A Ten Brink is 1083016588 and her current mailing address is 1315 N State St, Ukiah, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083016588.

Contact Information

	Mrs Susara A Ten Brink,
	1315 N State St, Ukiah, CA 95482-3419
	(707) 468-5156
	(707) 468-1277

Healthcare Provider's Profile

Full Name	Mrs Susara A Ten Brink
Gender	Female
Speciality	Pharmacist
Location	1315 N State St, Ukiah, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1083016588
Provider Enumeration Date: 09/16/2014
Last Update Date: 09/16/2014

Medical Identifiers

Medical identifiers for Mrs Susara A Ten Brink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083016588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	56496 (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. Mrs Susara A Ten Brink 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
Mrs Susara A Ten Brink, 1315 N State St, Ukiah, CA 95482-3419 Ph: (707) 468-5156	Mrs Susara A Ten Brink, 1315 N State St, Ukiah, CA 95482-3419 Ph: (707) 468-5156

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Pharmacist in Ukiah, CA

Ms. Tammy Tam Yau, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 308 E Perkins St, Ukiah, CA 95482 Phone: 707-462-1265
John James Chladek, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1155 Airport Park Blvd, Ukiah, CA 95482 Phone: 707-468-0171 Fax: 707-468-8505
Sylvester I Anaje, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 653 S State St, Ukiah, CA 95482 Phone: 707-467-2712
Dieu Linh Thi Vo, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1155 Airport Park Blvd, Ukiah, CA 95482 Phone: 707-468-0258
Dr. Jisoo Lee, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 653 S State St, Ukiah, CA 95482 Phone: 707-467-2700
Thong Huy Le, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1155 Airport Park Blvd, Ukiah, CA 95482 Phone: 707-468-0171 Fax: 707-468-8505
Alice Woods, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 155 Orchard Plz, Ukiah, CA 95482 Phone: 707-462-9751 Fax: 707-462-6158

Mrs Susara A Ten Brink, - Pharmacist in Ukiah, CA