MEDICARE: DR. SARA LOUISE JOE 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	183500000X	Pharmacist	RP033013L	PA
2	183500000X	Pharmacist	11213	MD

General Provider Information

NPI Number	:	1932228715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA LOUISE JOE PHARMD

Provider Business Mailing Address
First Line	:	14007 BRAMBLE LANE
Second Line	:	UNIT 101
City	:	LAUREL
State	:	MD
Zip	:	20708-1223
Country	:	US
Telephone Number	:
Fax Number	:	877-279-7299

Provider Business Practice Location Address
First Line	:	2960 LONESOME DOVE RD
Second Line	:	SUITE 2000
City	:	MT AIRY
State	:	MD
Zip	:	21771-8065
Country	:	US
Telephone Number	:	301-607-8744
Fax Number	:	301-829-4106

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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