MEDICARE: DR. SARAH ATSEBHA 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	18976	MD

General Provider Information

NPI Number	:	1447652755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ATSEBHA PHARM. D.

Provider Business Mailing Address
First Line	:	11215 OAK LEAF DR APT 318
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1366
Country	:	US
Telephone Number	:	301-580-6571
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 LAMBERTON DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3415
Country	:	US
Telephone Number	:	301-649-3500
Fax Number	:

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

Provider Enumeration Date	:	09/17/2014
Last Update Date	:	09/17/2014

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