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NPI Code Detail

MEDICARE: MS. SARAH JEAN MERBACH R. PH.

MEDICARE: MS. SARAH JEAN MERBACH R. PH.
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
11835P1200XPharmacotherapy Pharmacist115279MN

General Provider Information

NPI Number : 1104263185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH JEAN MERBACH R. PH.
Provider Business Mailing Address
First Line : 1618 21ST AVE NE
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4397
Country : US
Telephone Number : 507-398-6187
Fax Number : 507-289-2934
Provider Business Practice Location Address
First Line : 1510 N BROADWAY
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4146
Country : US
Telephone Number : 507-289-3901
Fax Number : 507-289-2934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2013
Last Update Date : 05/30/2013

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