Individual ProviderSara GholamrezaeiPharmacistPharmacy Service ProvidersPractice Address1500 Forest Glen Rd, Silver Spring, MD 20910-1484(301) 754-7000PECOS EnrollmentBased on the most recent information from CMS, provider Sara Gholamrezaei does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033959226Provider TypeIndividualFull NameGholamrezaei, SaraCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date5/28/2024Last Updated5/28/2024Contact InformationPractice LocationPractice Address1500 Forest Glen Rd, Silver Spring, MD 20910-1484Phone(301) 754-7000FaxUnlisted FaxMailing LocationMailing Address1500 Forest Glen Rd, Silver Spring, MD 20910-1484Phone(301) 754-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense28094Maryland