MEDICARE: DR. SARAH ANN TRACY 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PH00020486	WA
2	1835P1200X	Pharmacotherapy Pharmacist	PH00020486	WA
3	183500000X	Pharmacist	PH00020486	WA

General Provider Information

NPI Number	:	1104821693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ANN TRACY PHARM.D.

Provider Business Mailing Address
First Line	:	4060 AMELIA CT NE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98516-5448
Country	:	US
Telephone Number	:	360-481-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 MARTIN WAY E STE A
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-5268
Country	:	US
Telephone Number	:	360-810-3710
Fax Number	:

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/31/2025

Similar Medicare Providers

1861728651 — WHITNEY LAWLESS MFT GRAD STUDENT
Practice Location Address:

3857 MARTIN WAY E
OLYMPIA, WA
98506-5268

Practice Phone: 360-704-7170
Practice Fax:

1629933023 — MICHAEL JOHN EBY
Practice Location Address:

3857 MARTIN WAY E
OLYMPIA, WA
98506-5268

Practice Phone: 360-704-7170
Practice Fax:

1558223206 — AVERY BOYD
Practice Location Address:

3859 MARTIN WAY E STE 101
OLYMPIA, WA
98506-5268

Practice Phone: 509-227-9036
Practice Fax:

1609844836 — DR. SARAH ELIZABETH LEISENRING
Practice Location Address:

3857 MARTIN WAY E
OLYMPIA, WA
98506-5268

Practice Phone: 360-704-7170
Practice Fax: 360-709-4374

1407891997 — DR. LORRAINE D. BARTON-HAAS M.D.
Practice Location Address:

3857 MARTIN WAY E , BEHAVIORAL HEALTH RESOURCES
OLYMPIA, WA
98506-5268

Practice Phone: 360-704-7170
Practice Fax: 360-709-7374

1083648604 — DAWN M VANDERHOEF PHD, DNP, APRN
Practice Location Address:

3857 MARTIN WAY E
OLYMPIA, WA
98506-5268

Practice Phone: 360-704-7170
Practice Fax:

Directions to “ DR. SARAH ANN TRACY PHARM.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.