Provider Demographics
NPI:1700040003
Name:NAKHLA, SARA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:NAKHLA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:NAKHLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2301 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1628 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-2227
Practice Address - Country:US
Practice Address - Phone:518-209-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist