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NPI Code Detail

MEDICARE: SARAH MARIE GRIFFITHS PHARM. D

MEDICARE: SARAH MARIE GRIFFITHS PHARM. D
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
11835P1200XPharmacotherapy PharmacistS018135AZ

General Provider Information

NPI Number : 1366750200
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MARIE GRIFFITHS PHARM. D
Provider Business Mailing Address
First Line : 7701 W SAINT JOHN RD APT 1092
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8622
Country : US
Telephone Number : 763-443-9316
Fax Number :
Provider Business Practice Location Address
First Line : 6690 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1011
Country : US
Telephone Number : 623-561-5319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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