MEDICARE: SARAH T LIRA 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	202435144	MO

General Provider Information

NPI Number	:	1124782651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH T LIRA PHARMD

Provider Business Mailing Address
First Line	:	5537 S BETHEL LN
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-9103
Country	:	US
Telephone Number	:	719-289-2432
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 BUSINESS LOOP 70W
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65211-6308
Country	:	US
Telephone Number	:	573-882-7560
Fax Number	:

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

Provider Enumeration Date	:	10/31/2021
Last Update Date	:	10/25/2024

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Directions to “ SARAH T LIRA PHARMD” Practice Location

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