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NPI Code Detail

MEDICARE: SARAH MATUNIS R.PH.

MEDICARE: SARAH MATUNIS 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
1183500000XPharmacistRP038874LPA

General Provider Information

NPI Number : 1821129081
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MATUNIS R.PH.
Provider Business Mailing Address
First Line : 4720 PINE RIDGE RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-3238
Country : US
Telephone Number : 717-233-2341
Fax Number : 717-731-4730
Provider Business Practice Location Address
First Line : 30 HUNTER LN
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2400
Country : US
Telephone Number : 717-731-3818
Fax Number : 717-731-4730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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