Provider Demographics
NPI:1629855499
Name:CASSELBERRY, SARAH (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CASSELBERRY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-4108
Mailing Address - Country:US
Mailing Address - Phone:806-787-7537
Mailing Address - Fax:
Practice Address - Street 1:8010 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2626
Practice Address - Country:US
Practice Address - Phone:806-783-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist