MEDICARE: SARA WORLEY 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	2000175320	MO
2	183500000X	Pharmacist	1-12990	KS

General Provider Information

NPI Number	:	1477819100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA WORLEY PHARMD

Provider Business Mailing Address
First Line	:	6800 EL MONTE ST
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-1625
Country	:	US
Telephone Number	:	913-262-5556
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 EL MONTE ST
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-1625
Country	:	US
Telephone Number	:	913-262-5556
Fax Number	:

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

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	04/06/2012

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Directions to “ SARA WORLEY PHARMD” Practice Location

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