MEDICARE: SARA SUGIMOTO BYERS 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
1	183500000X	Pharmacist	PS48037	FL

General Provider Information

NPI Number	:	1871830547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA SUGIMOTO BYERS PHARMD

Provider Business Mailing Address
First Line	:	9765 EQUUS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4333
Country	:	US
Telephone Number	:	786-302-3027
Fax Number	:

Provider Business Practice Location Address
First Line	:	9765 EQUUS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4333
Country	:	US
Telephone Number	:	786-302-3027
Fax Number	:

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

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	05/18/2015

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