Susan L Ponce, PHARM.D.
NPI #1518959683 in Avalon, California
Provider Information
- NPI Number
- 1518959683
- Entity Type
- Individual
- Name
- Susan L Ponce, PHARM.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D.
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 401 CRESCENT AVE
- City
- Avalon
- State
- California
- ZIP Code
- 90704
- Phone
- (310) 510-0189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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| Bill Harold Paige, R.PH. | |
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Organizations
| Provider Name | |
|---|---|
| Leo's Catalina Drug Store Inc. |
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