MEDICARE: SARAH SABAH

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	5302414509	MI

General Provider Information

NPI Number	:	1629789292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SABAH

Provider Business Mailing Address
First Line	:	38821 COUNTRY CIR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-1016
Country	:	US
Telephone Number	:	586-569-6454
Fax Number	:

Provider Business Practice Location Address
First Line	:	45540 MICHIGAN AVE
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-2472
Country	:	US
Telephone Number	:	734-397-2560
Fax Number	:	734-397-2691

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

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	05/19/2026

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Directions to “ SARAH SABAH ” Practice Location

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