MEDICARE: SARA NICOLE CUTLER 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	RPH-0018626	OR
2	183500000X	Pharmacist	6923	SD

General Provider Information

NPI Number	:	1366114282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA NICOLE CUTLER PHARMD

Provider Business Mailing Address
First Line	:	3200 CANYON LAKE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8114
Country	:	US
Telephone Number	:	605-355-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 CANYON LAKE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8114
Country	:	US
Telephone Number	:	503-945-2945
Fax Number	:

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

Provider Enumeration Date	:	09/29/2021
Last Update Date	:	02/02/2026

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Directions to “ SARA NICOLE CUTLER PHARMD” Practice Location

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