Provider Demographics
NPI:1659967263
Name:SABIR, SARA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:SABIR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27379 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2844
Mailing Address - Country:US
Mailing Address - Phone:586-510-4662
Mailing Address - Fax:
Practice Address - Street 1:27379 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2844
Practice Address - Country:US
Practice Address - Phone:586-510-4662
Practice Address - Fax:586-510-4653
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315105351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302031536OtherMICHIGAN BOARD OF PHARMACY