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NPI Code Detail

MEDICARE: SARA BELLANCO

MEDICARE:   SARA  BELLANCO
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
1183500000XPharmacistRP448764PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RP448764OTHERPAPHARMACIST

General Provider Information

NPI Number : 1659938801
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA BELLANCO
Provider Business Mailing Address
First Line : 41 DORRANCE ST
Second Line :
City : WYOMING
State : PA
Zip : 18644-2004
Country : US
Telephone Number : 570-709-9997
Fax Number :
Provider Business Practice Location Address
First Line : 580 CARBONDALE RD
Second Line :
City : SCOTT TWP
State : PA
Zip : 18447-7715
Country : US
Telephone Number : 570-586-2749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 05/23/2019

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Directions to “ SARA BELLANCO ” Practice Location

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