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NPI Code Detail

MEDICARE: DR. SARAH F KNOLHOFF PHARM.D.

MEDICARE: DR. SARAH F KNOLHOFF 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
1183500000XPharmacist051293469IL

General Provider Information

NPI Number : 1528349503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH F KNOLHOFF PHARM.D.
Provider Business Mailing Address
First Line : 5862 DARTON ST
Second Line :
City : LOVES PARK
State : IL
Zip : 61111-3468
Country : US
Telephone Number : 312-437-1475
Fax Number :
Provider Business Practice Location Address
First Line : 1145 N ALPINE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-3613
Country : US
Telephone Number : 815-398-2443
Fax Number : 815-398-2861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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