MEDICARE: SHARON SUE ALT-SQUIRES

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	02007931	VA

General Provider Information

NPI Number	:	1316549421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON SUE ALT-SQUIRES

Provider Business Mailing Address
First Line	:	1950 S PLEASANT VALLEY RD
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-4400
Country	:	US
Telephone Number	:	540-665-1817
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 S PLEASANT VALLEY RD
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-4400
Country	:	US
Telephone Number	:	540-665-1817
Fax Number	:

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

Provider Enumeration Date	:	11/12/2020
Last Update Date	:	11/12/2020

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Directions to “ SHARON SUE ALT-SQUIRES ” Practice Location

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