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NPI Code Detail

MEDICARE: MS. SHARON K HARTMAN R.PH.

MEDICARE: MS. SHARON K HARTMAN R.PH.
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
1183500000XPharmacist26013787AIN
2183500000XPharmacist051.040583IL

General Provider Information

NPI Number : 1639496680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON K HARTMAN R.PH.
Provider Business Mailing Address
First Line : 1901 CAMPUS PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2308
Country : US
Telephone Number : 502-627-7166
Fax Number : 502-627-7329
Provider Business Practice Location Address
First Line : 1901 CAMPUS PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2308
Country : US
Telephone Number : 502-627-7166
Fax Number : 502-627-7329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2010
Last Update Date : 04/30/2010

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