Provider Demographics
NPI:1184229437
Name:MOLASKY, SARAH (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MOLASKY
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 1:701 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2611
Mailing Address - Country:US
Mailing Address - Phone:612-302-8740
Mailing Address - Fax:612-302-8923
Practice Address - Street 1:701 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2611
Practice Address - Country:US
Practice Address - Phone:612-302-8740
Practice Address - Fax:612-302-8923
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN124306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist