Provider Demographics
NPI:1205227469
Name:FALK, SARAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FALK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:PECHACEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2625 S 108TH ST
Mailing Address - Street 2:ATTN PHARMACY
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-1931
Mailing Address - Country:US
Mailing Address - Phone:414-328-4051
Mailing Address - Fax:414-328-4206
Practice Address - Street 1:2625 S 108TH ST
Practice Address - Street 2:ATTN PHARMACY
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-1931
Practice Address - Country:US
Practice Address - Phone:414-328-4051
Practice Address - Fax:414-328-4206
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16251183500000X
IL295494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist