Provider Demographics
NPI:1114325313
Name:SHELDON, SARA
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:SHELDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 PROMENADE PKWY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-0000
Mailing Address - Country:US
Mailing Address - Phone:303-379-8039
Mailing Address - Fax:303-379-8038
Practice Address - Street 1:1613 BAGUETTE DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7792
Practice Address - Country:US
Practice Address - Phone:303-379-8039
Practice Address - Fax:303-379-8038
Is Sole Proprietor?:No
Enumeration Date:2014-12-21
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist