Provider Demographics
NPI:1093097131
Name:SABA, JESSICA ANN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:SABA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12119 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-1836
Mailing Address - Country:US
Mailing Address - Phone:724-978-7290
Mailing Address - Fax:
Practice Address - Street 1:12119 ROUTE 30
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-1836
Practice Address - Country:US
Practice Address - Phone:724-978-7290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443754183500000X
OHRPH.03129974-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist