Provider Demographics
NPI:1548568140
Name:HERRING, SARA ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANN
Last Name:HERRING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2758
Mailing Address - Country:US
Mailing Address - Phone:864-225-2321
Mailing Address - Fax:864-225-3631
Practice Address - Street 1:2811 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2758
Practice Address - Country:US
Practice Address - Phone:864-225-2321
Practice Address - Fax:864-225-3631
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3910183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist