Provider Demographics
NPI:1578845194
Name:TIPTON, SARAH MORGAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MORGAN
Last Name:TIPTON
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 1:1 MEDICAL PARK BLVD STE 106E
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-7450
Mailing Address - Country:US
Mailing Address - Phone:423-844-2888
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL PARK BLVD STE 106E
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7450
Practice Address - Country:US
Practice Address - Phone:423-844-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-10
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist