Provider Demographics
NPI:1760795462
Name:LURTZ, SARAH ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:LURTZ
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:P.O. BOX 49
Mailing Address - Street 2:
Mailing Address - City:GLENBROOK
Mailing Address - State:NV
Mailing Address - Zip Code:89413
Mailing Address - Country:US
Mailing Address - Phone:775-848-2058
Mailing Address - Fax:
Practice Address - Street 1:419 35TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2604
Practice Address - Country:US
Practice Address - Phone:206-890-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60155073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist