Provider Demographics
NPI:1003120999
Name:CLEMENTS, SARAH KATHRYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KATHRYN
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:KATHRYN
Other - Last Name:MANNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2425 BABCOCK RD STE 108A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4899
Mailing Address - Country:US
Mailing Address - Phone:210-298-9000
Mailing Address - Fax:210-298-9000
Practice Address - Street 1:1 FM 3351 STE 115
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5729
Practice Address - Country:US
Practice Address - Phone:866-237-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist