MEDICARE: DR. SARAH F FORREST 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	1835P1200X	Pharmacotherapy Pharmacist	23188	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23188	OTHER	NV	RPH LICENSE

General Provider Information

NPI Number	:	1154046662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH F FORREST PHARMD

Provider Business Mailing Address
First Line	:	650 WHITNEY RANCH DR APT 3613
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2620
Country	:	US
Telephone Number	:	508-431-8716
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-2039
Fax Number	:

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

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	10/06/2022

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