MEDICARE: DR. SARAH THOLSTRUP OSTENFELD 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	37149	SC

General Provider Information

NPI Number	:	1215459581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH THOLSTRUP OSTENFELD PHARMD

Provider Business Mailing Address
First Line	:	3031 DREWSKY LN UNIT 105
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-0102
Country	:	US
Telephone Number	:	803-210-5362
Fax Number	:

Provider Business Practice Location Address
First Line	:	8322 PINEVILLE MATTHEWS RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4707
Country	:	US
Telephone Number	:	704-496-5227
Fax Number	:

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

Provider Enumeration Date	:	07/08/2017
Last Update Date	:	07/08/2017

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