Provider Demographics
NPI:1689100307
Name:SADOWSKI, DANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:SADOWSKI
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 1:3924 S WADSWORTH BLVD APT 209
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2275
Mailing Address - Country:US
Mailing Address - Phone:708-932-6902
Mailing Address - Fax:
Practice Address - Street 1:1277 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:BEECHER
Practice Address - State:IL
Practice Address - Zip Code:60401-4040
Practice Address - Country:US
Practice Address - Phone:708-946-3714
Practice Address - Fax:708-946-3774
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2021-05-11
Deactivation Date:2019-02-13
Deactivation Code:
Reactivation Date:2019-02-27
Provider Licenses
StateLicense IDTaxonomies
IL051.294960183500000X
COPHA.00220121835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist