Provider Demographics
NPI:1477848299
Name:PAOLINI, SARAH (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:PAOLINI
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 1:8100 E BROAD ST
Mailing Address - Street 2:T-2086
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8019
Mailing Address - Country:US
Mailing Address - Phone:614-322-9706
Mailing Address - Fax:614-322-9706
Practice Address - Street 1:8100 E BROAD ST
Practice Address - Street 2:T-2086
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8019
Practice Address - Country:US
Practice Address - Phone:614-322-9706
Practice Address - Fax:614-322-9706
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3230110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist