Provider Demographics
NPI:1275814477
Name:HOWES, SARA BETH
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:BETH
Last Name:HOWES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-1510
Mailing Address - Country:US
Mailing Address - Phone:207-761-9454
Mailing Address - Fax:
Practice Address - Street 1:616 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-1510
Practice Address - Country:US
Practice Address - Phone:207-761-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5804183500000X
NHR2169183500000X
GARPH024408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist