MEDICARE: MRS. SARAH ALBANESE 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	1835P2201X	Ambulatory Care Pharmacist	013749	KY

General Provider Information

NPI Number	:	1851980742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ALBANESE PHARMD

Provider Business Mailing Address
First Line	:	125 COLLEGE PARK DR
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-2566
Country	:	US
Telephone Number	:	859-750-2941
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 ELM ST
Second Line	:
City	:	LUDLOW
State	:	KY
Zip	:	41016-1520
Country	:	US
Telephone Number	:	859-261-2210
Fax Number	:

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

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	01/14/2021

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