Provider Demographics
NPI:1164138582
Name:WHALEY, SARAH GAYLENE (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GAYLENE
Last Name:WHALEY
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 1:3120 S EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-2255
Mailing Address - Country:US
Mailing Address - Phone:480-220-3932
Mailing Address - Fax:
Practice Address - Street 1:3120 S EAGLE DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-2255
Practice Address - Country:US
Practice Address - Phone:480-220-3932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist