Provider Demographics
NPI:1689076366
Name:CARAVELLA, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CARAVELLA
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 1:8686 PARK MEADOWS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5129
Mailing Address - Country:US
Mailing Address - Phone:303-708-8571
Mailing Address - Fax:
Practice Address - Street 1:8686 PARK MEADOWS CENTER DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80124-5129
Practice Address - Country:US
Practice Address - Phone:303-708-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO594083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist