Provider Demographics
NPI:1114528452
Name:WELCH, SARAH ROBINSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ROBINSON
Last Name:WELCH
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 1:34 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39443-2658
Mailing Address - Country:US
Mailing Address - Phone:601-433-3670
Mailing Address - Fax:
Practice Address - Street 1:715 BONITA DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4603
Practice Address - Country:US
Practice Address - Phone:601-286-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist