MEDICARE: SARAH HOUSE

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	PS40219	FL
2	183500000X	Pharmacist	E-09909	MS
3	183500000X	Pharmacist	0202207813	VA

General Provider Information

NPI Number	:	1548447022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HOUSE

Provider Business Mailing Address
First Line	:	849 PARKER RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-5812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 JOHN PAUL JONES CIR STE 275
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23708-2113
Country	:	US
Telephone Number	:	757-953-0258
Fax Number	:

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

Provider Enumeration Date	:	01/27/2008
Last Update Date	:	01/27/2008

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Directions to “ SARAH HOUSE ” Practice Location

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