Provider Demographics
NPI:1639697170
Name:SIMRIN, SABRINA H (PHARMD)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:H
Last Name:SIMRIN
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 1:4309 W RUTH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-5323
Mailing Address - Country:US
Mailing Address - Phone:760-835-6043
Mailing Address - Fax:
Practice Address - Street 1:2415 E UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3146
Practice Address - Country:US
Practice Address - Phone:602-867-0561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist