Provider Demographics
NPI:1376161968
Name:PRIESTLE, SARAH MARIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIA
Last Name:PRIESTLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4861 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4493
Mailing Address - Country:US
Mailing Address - Phone:513-471-1605
Mailing Address - Fax:513-471-7416
Practice Address - Street 1:4861 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4493
Practice Address - Country:US
Practice Address - Phone:513-471-1605
Practice Address - Fax:513-471-7416
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist