Provider Demographics
NPI:1720583644
Name:STEVENS, SARAH JANE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JANE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-0103
Mailing Address - Country:US
Mailing Address - Phone:413-544-1040
Mailing Address - Fax:
Practice Address - Street 1:490 PAGE BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3026
Practice Address - Country:US
Practice Address - Phone:413-781-2996
Practice Address - Fax:413-737-0693
Is Sole Proprietor?:No
Enumeration Date:2018-03-25
Last Update Date:2018-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist