MEDICARE: SARA TAARAF 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	051294086	IL

General Provider Information

NPI Number	:	1407104045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA TAARAF PHARMD

Provider Business Mailing Address
First Line	:	13700 SUTTON PARK DR N
Second Line	:	BUILDING 5, APT 533
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-2273
Country	:	US
Telephone Number	:	815-505-7734
Fax Number	:

Provider Business Practice Location Address
First Line	:	13700 SUTTON PARK DR N
Second Line	:	BUILDING 5, APT 533
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-2273
Country	:	US
Telephone Number	:	815-505-7734
Fax Number	:

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

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	08/28/2012

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Directions to “ SARA TAARAF PHARMD” Practice Location

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