MEDICARE: DR. SARAH F MAHDY 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
1	183500000X	Pharmacist	14202	OK
2	183500000X	Pharmacist	80600	CA

General Provider Information

NPI Number	:	1235419771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH F MAHDY PHARM.D

Provider Business Mailing Address
First Line	:	1399 ROXBURY DR STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4714
Country	:	US
Telephone Number	:	310-203-1007
Fax Number	:	310-522-5330

Provider Business Practice Location Address
First Line	:	1399 ROXBURY DR STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4714
Country	:	US
Telephone Number	:	310-203-1007
Fax Number	:	310-552-5330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2011
Last Update Date	:	07/22/2022

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