Provider Demographics
NPI:1417231218
Name:SEARS, SARAH LYNN (RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:SEARS
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 1:7769 W STATE ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2544
Mailing Address - Country:US
Mailing Address - Phone:812-853-5339
Mailing Address - Fax:812-853-2075
Practice Address - Street 1:7769 W STATE ROUTE 66
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2544
Practice Address - Country:US
Practice Address - Phone:812-853-5339
Practice Address - Fax:812-853-2075
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018234A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist