Provider Demographics
NPI:1164863486
Name:THOMAS, SARAH ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4545 LACLEDE AVE
Mailing Address - Street 2:APARTMENT 203
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2125
Mailing Address - Country:US
Mailing Address - Phone:270-766-9710
Mailing Address - Fax:
Practice Address - Street 1:216 S KINGSHIGHWAY BLVD
Practice Address - Street 2:MAILSTOP: 90-52-411
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1026
Practice Address - Country:US
Practice Address - Phone:314-699-5802
Practice Address - Fax:314-454-7320
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016535183500000X
MO2013027379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist