Provider Demographics
NPI:1568583375
Name:HARMON, SARAH ANN (BS, PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:HARMON
Suffix:
Gender:F
Credentials:BS, PHARMD, RPH
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, PHARMD, RPH
Mailing Address - Street 1:501 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:IL
Mailing Address - Zip Code:61530-1111
Mailing Address - Country:US
Mailing Address - Phone:309-467-3161
Mailing Address - Fax:309-467-3497
Practice Address - Street 1:501 W CENTER ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:IL
Practice Address - Zip Code:61530-1111
Practice Address - Country:US
Practice Address - Phone:309-467-3161
Practice Address - Fax:309-467-3497
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051290947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051290947OtherSTATE LICENSE