Provider Demographics
NPI:1366536369
Name:GESS, SUSAN LYNNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:LYNNE
Last Name:GESS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:7 LINDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-1412
Mailing Address - Country:US
Mailing Address - Phone:415-451-1819
Mailing Address - Fax:415-444-4719
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-2338
Practice Address - Fax:415-444-4719
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA41970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist