Provider Demographics
NPI:1497358238
Name:MALOTT, SARAH (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MALOTT
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 OAKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-7202
Mailing Address - Country:US
Mailing Address - Phone:859-468-6423
Mailing Address - Fax:
Practice Address - Street 1:3516 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1804
Practice Address - Country:US
Practice Address - Phone:859-331-6878
Practice Address - Fax:859-331-6853
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist