Provider Demographics
NPI:1376817445
Name:SCHOCK, SARAH J (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:SCHOCK
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 1:16508 E JULIE MARIE CIR
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-7601
Mailing Address - Country:US
Mailing Address - Phone:907-745-7443
Mailing Address - Fax:
Practice Address - Street 1:650 S COBB ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6320
Practice Address - Country:US
Practice Address - Phone:907-761-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1477183500000X
WA56512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist