MEDICARE: ANGELINA SAGARSEE PHARMD

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	26022042A	IN

General Provider Information

NPI Number	:	1376553172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINA SAGARSEE PHARMD

Provider Business Mailing Address
First Line	:	1609 E COLFAX AVE
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46617-2603
Country	:	US
Telephone Number	:	574-229-8053
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 E DOUGLAS RD STE 412
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1468
Country	:	US
Telephone Number	:	574-335-6500
Fax Number	:

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	12/07/2020

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Directions to “ ANGELINA SAGARSEE PHARMD” Practice Location

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