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NPI Code Detail

MEDICARE: SUMATI SACHDEVA RPH

MEDICARE: SUMATI SACHDEVA RPH
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
1183500000XPharmacistRPH021060GA

General Provider Information

NPI Number : 1184228314
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMATI SACHDEVA RPH
Provider Business Mailing Address
First Line : 2605 HAMILTON MILL RD
Second Line :
City : BUFORD
State : GA
Zip : 30519-4106
Country : US
Telephone Number : 678-546-5352
Fax Number :
Provider Business Practice Location Address
First Line : 2605 HAMILTON MILL RD
Second Line :
City : BUFORD
State : GA
Zip : 30519-4106
Country : US
Telephone Number : 678-546-5352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2020
Last Update Date : 11/29/2020

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Directions to “ SUMATI SACHDEVA RPH” Practice Location

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