Provider Demographics
NPI:1598417750
Name:SLAMA, SARAH MARIE (PHARM-D)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:SLAMA
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:MO
Mailing Address - Zip Code:65613-2630
Mailing Address - Country:US
Mailing Address - Phone:417-326-5208
Mailing Address - Fax:417-777-4041
Practice Address - Street 1:703 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-2630
Practice Address - Country:US
Practice Address - Phone:417-326-5208
Practice Address - Fax:417-777-4041
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015030930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist