Provider Demographics
NPI:1417557604
Name:THORSELL-POLLARD, SARA RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:RENEE
Last Name:THORSELL-POLLARD
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 1:6315 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3681
Mailing Address - Country:US
Mailing Address - Phone:806-698-8259
Mailing Address - Fax:806-698-8254
Practice Address - Street 1:6315 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-3681
Practice Address - Country:US
Practice Address - Phone:806-698-8259
Practice Address - Fax:806-698-8254
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist