Provider Demographics
NPI:1679354484
Name:ALHADITHI, SARAH
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:ALHADITHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 TWIN RIVERS RD APT 401
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-6539
Mailing Address - Country:US
Mailing Address - Phone:202-650-9151
Mailing Address - Fax:
Practice Address - Street 1:11623 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3736
Practice Address - Country:US
Practice Address - Phone:410-526-3509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist