Provider Demographics
NPI:1497227490
Name:KUBES, SARAH E (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:KUBES
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:WISECUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7703 FLOYD CURL DR # MC6220
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3900
Mailing Address - Country:US
Mailing Address - Phone:210-450-8670
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # MC6220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3900
Practice Address - Country:US
Practice Address - Phone:210-450-8670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504511835P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0200XPharmacy Service ProvidersPharmacistPediatricsGroup - Multi-Specialty