Provider Demographics
NPI:1578165213
Name:BARE, SARAH ASHLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ASHLEY
Last Name:BARE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 JOHN MARK CT
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-8491
Mailing Address - Country:US
Mailing Address - Phone:931-409-2161
Mailing Address - Fax:
Practice Address - Street 1:2518 HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-6535
Practice Address - Country:US
Practice Address - Phone:931-728-8904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist