Provider Demographics
NPI:1518557842
Name:ABU ALRUB, SARAH M (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:ABU ALRUB
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 1:13428 CUMBERLAND PL
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5451
Mailing Address - Country:US
Mailing Address - Phone:909-938-6472
Mailing Address - Fax:
Practice Address - Street 1:6250 VALLEY SPRINGS PKWY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0970
Practice Address - Country:US
Practice Address - Phone:951-653-4849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist