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NPI Code Detail

MEDICARE: DR. SARA JENEVIEVE DENISE BORK PHARMD

MEDICARE: DR. SARA JENEVIEVE DENISE BORK 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
1183500000XPharmacist43535TX

General Provider Information

NPI Number : 1891066957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA JENEVIEVE DENISE BORK PHARMD
Provider Business Mailing Address
First Line : 300 MEYERLAND PLAZA MALL
Second Line : T-1975
City : HOUSTON
State : TX
Zip : 77096-1611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 MEYERLAND PLAZA MALL
Second Line : T-1975
City : HOUSTON
State : TX
Zip : 77096-1611
Country : US
Telephone Number : 713-292-0031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2012
Last Update Date : 01/21/2012

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