Provider Demographics
NPI:1528204443
Name:UPTON, SARAH J (PHARMD, RPH)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:J
Last Name:UPTON
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 1:130 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MORAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13118-3689
Mailing Address - Country:US
Mailing Address - Phone:315-497-9600
Mailing Address - Fax:315-497-9375
Practice Address - Street 1:130 MAIN ST
Practice Address - Street 2:
Practice Address - City:MORAVIA
Practice Address - State:NY
Practice Address - Zip Code:13118-3689
Practice Address - Country:US
Practice Address - Phone:315-497-9600
Practice Address - Fax:315-497-9375
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist