Provider Demographics
NPI:1306201926
Name:PISONI POLLARD, SARAH (PHARM D)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PISONI POLLARD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 RUFFIN RD UNIT 188
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2545
Mailing Address - Country:US
Mailing Address - Phone:310-489-0130
Mailing Address - Fax:
Practice Address - Street 1:3550 RUFFIN RD UNIT 188
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2545
Practice Address - Country:US
Practice Address - Phone:310-489-0130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-25
Last Update Date:2015-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist