Provider Demographics
NPI:1407263346
Name:MCALLISTER, SARA NICOLE (RPH)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:NICOLE
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 TIPPECANOE RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44511-3310
Mailing Address - Country:US
Mailing Address - Phone:330-797-9205
Mailing Address - Fax:
Practice Address - Street 1:3800 TIPPECANOE RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44511-3310
Practice Address - Country:US
Practice Address - Phone:330-797-9205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032335172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist