MEDICARE: SARAH MARIE BARTEAUX PHARM D

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	15107	OK

General Provider Information

NPI Number	:	1912279894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MARIE BARTEAUX PHARM D

Provider Business Mailing Address
First Line	:	10019 S MEMORIAL DR
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-6103
Country	:	US
Telephone Number	:	918-615-5001
Fax Number	:	918-615-5011

Provider Business Practice Location Address
First Line	:	10019 S MEMORIAL DR
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-6103
Country	:	US
Telephone Number	:	918-615-5001
Fax Number	:	918-615-5011

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

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	02/07/2012

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