MEDICARE: DR. SARAH CHRISTINE RAY PHARM.D., BCPS

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	1835P1200X	Pharmacotherapy Pharmacist	12806-040	WI

General Provider Information

NPI Number	:	1134112873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH CHRISTINE RAY PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	904 E PEARSON ST
Second Line	:	UNIT 403
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-1594
Country	:	US
Telephone Number	:	414-412-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 W OKLAHOMA AVE
Second Line	:	OUTPATIENT PHARMACY
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4330
Country	:	US
Telephone Number	:	414-219-5642
Fax Number	:

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

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	07/08/2007

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