MEDICARE: SARAH KU

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	61242	CA

General Provider Information

NPI Number	:	1851686083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KU

Provider Business Mailing Address
First Line	:	PO BOX 111731
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95011-1731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 S WINCHESTER BLVD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-4343
Country	:	US
Telephone Number	:	408-379-6570
Fax Number	:

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

Provider Enumeration Date	:	06/15/2011
Last Update Date	:	06/15/2011

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Directions to “ SARAH KU ” Practice Location

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