MEDICARE: MS. SHARON LEAH FINE 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
1	1835G0303X	Geriatric Pharmacist	09702	MD

General Provider Information

NPI Number	:	1275675829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON LEAH FINE RPH

Provider Business Mailing Address
First Line	:	8400 FOX RUN
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-2503
Country	:	US
Telephone Number	:	301-299-7337
Fax Number	:	301-299-0170

Provider Business Practice Location Address
First Line	:	803 BARKWOOD CT STE A
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-1426
Country	:	US
Telephone Number	:	301-775-4725
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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