=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942461496
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH ELIZABETH MCCREARY PHARM.D, R.PH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2008
-----------------------------------------------------
Last Update Date | 06/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 603 COLUMBIA HWY
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42743-1115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-932-4518
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 603 COLUMBIA HWY
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42743-1115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-932-4518
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 014020
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------