Provider Demographics
NPI:1710328463
Name:DIXON, SARAH LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LEE
Last Name:DIXON
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 1:131 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923-4348
Mailing Address - Country:US
Mailing Address - Phone:870-230-1809
Mailing Address - Fax:870-230-1841
Practice Address - Street 1:131 N 26TH ST
Practice Address - Street 2:
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923-4348
Practice Address - Country:US
Practice Address - Phone:870-230-1809
Practice Address - Fax:870-230-1841
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist