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NPI Code Detail

MEDICARE: DR. SARAH ELIZABETH NOBLE PHARMD

MEDICARE:  DR. SARAH ELIZABETH NOBLE  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
1183500000XPharmacist2021015099MO

General Provider Information

NPI Number : 1063170561
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH ELIZABETH NOBLE PHARMD
Provider Business Mailing Address
First Line : 921 S KISNER DR
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64056-3055
Country : US
Telephone Number : 816-309-3354
Fax Number :
Provider Business Practice Location Address
First Line : 358 E US HIGHWAY 69
Second Line :
City : CLAYCOMO
State : MO
Zip : 64119-3117
Country : US
Telephone Number : 816-413-0079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 12/01/2021

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Directions to “ DR. SARAH ELIZABETH NOBLE PHARMD” Practice Location

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