MEDICARE: SARAH OLIA

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	17153	AL

General Provider Information

NPI Number	:	1366829939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH OLIA

Provider Business Mailing Address
First Line	:	2040 MARTIN ST S
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35128-2326
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 MARTIN ST S
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35128-2326
Country	:	US
Telephone Number	:	205-338-3472
Fax Number	:

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

Provider Enumeration Date	:	05/02/2015
Last Update Date	:	05/02/2015

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Directions to “ SARAH OLIA ” Practice Location

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