Provider Demographics
NPI:1477247203
Name:PASLIDIS, SARAH DEE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DEE
Last Name:PASLIDIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 EL CAMINO RD
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5122
Mailing Address - Country:US
Mailing Address - Phone:501-590-1150
Mailing Address - Fax:
Practice Address - Street 1:2300 W SR 89A
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5344
Practice Address - Country:US
Practice Address - Phone:928-282-1712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026388183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist