Provider Demographics
NPI:1629730049
Name:FRANK, SARAH JEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:FRANK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JEAN
Other - Last Name:MARKANTONY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9221 E BASELINE RD STE 109-147
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-8376
Mailing Address - Country:US
Mailing Address - Phone:480-352-7133
Mailing Address - Fax:
Practice Address - Street 1:1305 S GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3303
Practice Address - Country:US
Practice Address - Phone:480-830-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS013617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE