MEDICARE: SUSAN BARNARD RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	38812	CA

General Provider Information

NPI Number	:	1932456936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN BARNARD RPH

Provider Business Mailing Address
First Line	:	316 MID VALLEY CTR # 129
Second Line	:
City	:	CARMEL
State	:	CA
Zip	:	93923-8516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 CALIFORNIA AVE
Second Line	:
City	:	SAND CITY
State	:	CA
Zip	:	93955-3150
Country	:	US
Telephone Number	:	831-583-9110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2012
Last Update Date	:	08/08/2012

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