Provider Demographics
NPI:1013385749
Name:CLAY, SARAH WHITNEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:WHITNEY
Last Name:CLAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 WHITEBARK DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5491
Mailing Address - Country:US
Mailing Address - Phone:304-638-6696
Mailing Address - Fax:
Practice Address - Street 1:578 INTERNATIONAL DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-3505
Practice Address - Country:US
Practice Address - Phone:843-903-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43850183500000X
WVWV0009255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist