Provider Demographics
NPI:1407148794
Name:TASHIRO, SARAH HANAKO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HANAKO
Last Name:TASHIRO
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 1:200 ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-4453
Mailing Address - Country:US
Mailing Address - Phone:401-521-4941
Mailing Address - Fax:
Practice Address - Street 1:200 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-4453
Practice Address - Country:US
Practice Address - Phone:401-521-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT70456183500000X
RIRPH04973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist