MEDICARE: DR. SHARI ALLEN 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	054283	NY
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH026112	GA

General Provider Information

NPI Number	:	1639495096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARI ALLEN PHARMD

Provider Business Mailing Address
First Line	:	625 OLD PEACHTREE RD NW
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-2937
Country	:	US
Telephone Number	:	678-407-7372
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 OLD PEACHTREE RD NW
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-2937
Country	:	US
Telephone Number	:	678-407-7372
Fax Number	:

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

Provider Enumeration Date	:	04/10/2010
Last Update Date	:	12/12/2012

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