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NPI Code Detail

MEDICARE: SARA JEANNE SHEARBURN PHARMD

MEDICARE: SARA JEANNE SHEARBURN 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
1183500000XPharmacist26028467AIN

General Provider Information

NPI Number : 1689219081
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA JEANNE SHEARBURN PHARMD
Provider Business Mailing Address
First Line : 11829 E 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-8513
Country : US
Telephone Number : 217-502-2535
Fax Number :
Provider Business Practice Location Address
First Line : 5095 E THOMPSON RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1946
Country : US
Telephone Number : 317-783-5647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2019
Last Update Date : 11/10/2019

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Directions to “ SARA JEANNE SHEARBURN PHARMD” Practice Location

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