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NPI Code Detail

MEDICARE: SIERRA INTERNATIONAL PHARMACEUTICAL

MEDICARE: SIERRA INTERNATIONAL PHARMACEUTICAL
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
13336C0003XCommunity/Retail PharmacyRX9300229DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1025933200OTHERDCDME NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356406474
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIERRA INTERNATIONAL PHARMACEUTICAL
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 : 202-232-1453
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 : 202-232-1453
Authorized Official
Title or Position : PHARMACIST OWNER
Name : SAHR BOCKAI
Credential : R.PH.
Telephone Number : 202-232-1455
Provider Enumeration Date : 12/27/2006
Last Update Date : 11/03/2022

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Directions to “SIERRA INTERNATIONAL PHARMACEUTICAL ” Practice Location

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