MEDICARE: SARAH WEBB 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
1	183500000X	Pharmacist	0202213075	VA

General Provider Information

NPI Number	:	1538576053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WEBB PHARM D

Provider Business Mailing Address
First Line	:	2141 DALE AVE SE
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24013-2135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2141 DALE AVE SE
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24013-2135
Country	:	US
Telephone Number	:	540-613-6651
Fax Number	:

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

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	09/29/2015

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Directions to “ SARAH WEBB PHARM D” Practice Location

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