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NPI Code Detail

MEDICARE: DR. SARAH ANN TRACY PHARM.D.

MEDICARE: DR. SARAH ANN TRACY 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00020486WA
21835P1200XPharmacotherapy PharmacistPH00020486WA
3183500000XPharmacistPH00020486WA

General Provider Information

NPI Number : 1104821693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH ANN TRACY PHARM.D.
Provider Business Mailing Address
First Line : 4060 AMELIA CT NE
Second Line :
City : LACEY
State : WA
Zip : 98516-5448
Country : US
Telephone Number : 360-481-3300
Fax Number :
Provider Business Practice Location Address
First Line : 3855 MARTIN WAY E STE A
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5268
Country : US
Telephone Number : 360-810-3710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/31/2025

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Directions to “ DR. SARAH ANN TRACY PHARM.D.” Practice Location

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