Provider Demographics
NPI:1235734799
Name:HEBDA, SARAH C (RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:HEBDA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CRYSTAL DR
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02779-1631
Mailing Address - Country:US
Mailing Address - Phone:508-264-0771
Mailing Address - Fax:
Practice Address - Street 1:7 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3918
Practice Address - Country:US
Practice Address - Phone:508-821-5605
Practice Address - Fax:508-821-5838
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH25142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist