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NPI Code Detail

MEDICARE: MRS. SARA ELIZABETH PEACE PHARMD

MEDICARE: MRS. SARA ELIZABETH PEACE 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
1183500000XPharmacistOH03127016OH

General Provider Information

NPI Number : 1538437454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA ELIZABETH PEACE PHARMD
Provider Business Mailing Address
First Line : 4890 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1552
Country : US
Telephone Number : 614-261-9013
Fax Number : 614-261-3974
Provider Business Practice Location Address
First Line : 4890 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1552
Country : US
Telephone Number : 614-261-9013
Fax Number : 614-261-3974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2011
Last Update Date : 12/06/2011

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