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NPI Code Detail

MEDICARE: SIERRA INTERNATIONAL PHARMACAUTICAL

MEDICARE: SIERRA INTERNATIONAL PHARMACAUTICAL
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
1332B00000XDurable Medical Equipment & Medical Supplies025933200DC

General Provider Information

NPI Number : 1144354218
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIERRA INTERNATIONAL PHARMACAUTICAL
Provider Business Mailing Address
First Line : 3316 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2302
Country : US
Telephone Number : 202-232-1455
Fax Number :
Provider Business Practice Location Address
First Line : 3316 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2302
Country : US
Telephone Number : 202-232-1455
Fax Number :
Authorized Official
Title or Position : PHARMACY MANAGER
Name : MRS. ELIZABETH PUWO
Credential :
Telephone Number : 202-232-1455
Provider Enumeration Date : 03/14/2007
Last Update Date : 11/03/2022

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Directions to “SIERRA INTERNATIONAL PHARMACAUTICAL ” Practice Location

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