Provider Demographics
NPI:1043602204
Name:ASHMORE, SARAH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:ASHMORE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAKEENEY
Mailing Address - State:KS
Mailing Address - Zip Code:67672-2103
Mailing Address - Country:US
Mailing Address - Phone:785-743-5753
Mailing Address - Fax:785-743-5858
Practice Address - Street 1:125 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEENEY
Practice Address - State:KS
Practice Address - Zip Code:67672-2103
Practice Address - Country:US
Practice Address - Phone:785-743-5753
Practice Address - Fax:785-743-5858
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist