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NPI Code Detail

MEDICARE: SARA OULD AMMAR

MEDICARE:   SARA  OULD AMMAR
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
1183500000XPharmacist051.306325IL

General Provider Information

NPI Number : 1194569863
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA OULD AMMAR
Provider Business Mailing Address
First Line : 5115 W 82ND PL
Second Line :
City : BURBANK
State : IL
Zip : 60459-2716
Country : US
Telephone Number : 708-470-0196
Fax Number :
Provider Business Practice Location Address
First Line : 2 N STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3203
Country : US
Telephone Number : 312-332-0216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/19/2024

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Directions to “ SARA OULD AMMAR ” Practice Location

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