Provider Demographics
NPI:1437763554
Name:BRAND, SARAH (PHARM D)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BRAND
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 1:112 TYLER WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9383
Mailing Address - Country:US
Mailing Address - Phone:304-545-4772
Mailing Address - Fax:
Practice Address - Street 1:5179 US ROUTE 60
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2003
Practice Address - Country:US
Practice Address - Phone:304-736-3496
Practice Address - Fax:304-736-0187
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist