MEDICARE: DR. SARAH AMOS SOBOH PHARM.D.

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	64429	CA

General Provider Information

NPI Number	:	1881058279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH AMOS SOBOH PHARM.D.

Provider Business Mailing Address
First Line	:	101 W MISSION BLVD # 110-211
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-1711
Country	:	US
Telephone Number	:	909-223-4423
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 WARDLOW RD STE 101
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92878-5192
Country	:	US
Telephone Number	:	951-340-7633
Fax Number	:

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

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	11/30/2023

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