Provider Demographics
NPI:1700197225
Name:GIAMBANCO, SARAH C (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:GIAMBANCO
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 1:70 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4511
Mailing Address - Country:US
Mailing Address - Phone:508-269-8633
Mailing Address - Fax:
Practice Address - Street 1:13 TAUNTON ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2134
Practice Address - Country:US
Practice Address - Phone:508-695-9475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist