Provider Demographics
NPI:1477818029
Name:RHOADES, SARA NATALIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:NATALIE
Last Name:RHOADES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:NATALIE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:929 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2705
Mailing Address - Country:US
Mailing Address - Phone:800-874-5881
Mailing Address - Fax:415-872-9981
Practice Address - Street 1:929 N BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2705
Practice Address - Country:US
Practice Address - Phone:800-874-5881
Practice Address - Fax:415-872-9981
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49058183500000X
COPHA20336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist