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NPI Code Detail

MEDICARE: SARAH B AUDI PHARM.D.

MEDICARE: SARAH B AUDI PHARM.D.
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
1183500000XPharmacistRP453141PA

General Provider Information

NPI Number : 1043782386
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH B AUDI PHARM.D.
Provider Business Mailing Address
First Line : 204 W SAMPLE ST
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1552
Country : US
Telephone Number : 240-291-0691
Fax Number :
Provider Business Practice Location Address
First Line : 3720 NEW GERMANY RD
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1862
Country : US
Telephone Number : 814-472-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 12/27/2018

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Directions to “ SARAH B AUDI PHARM.D.” Practice Location

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