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NPI Code Detail

MEDICARE: SARAH DEATLEY

MEDICARE: SARAH DEATLEY
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
1183500000XPharmacist03-315813OH

General Provider Information

NPI Number : 1235521519
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH DEATLEY
Provider Business Mailing Address
First Line : 500 RAYS RUN
Second Line :
City : NEW RICHMOND
State : OH
Zip : 45157-9078
Country : US
Telephone Number : 513-553-2921
Fax Number : 513-718-2221
Provider Business Practice Location Address
First Line : 262 W MAIN ST
Second Line :
City : AMELIA
State : OH
Zip : 45102-1309
Country : US
Telephone Number : 513-718-2220
Fax Number : 513-718-2221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ SARAH DEATLEY ” Practice Location

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