Provider Demographics
NPI:1770195844
Name:JOBE, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:JOBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LIBBIE
Other - Middle Name:
Other - Last Name:JOBE-OURSBOURN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5409 COUNTY ROAD 1420
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-5725
Mailing Address - Country:US
Mailing Address - Phone:806-252-4866
Mailing Address - Fax:
Practice Address - Street 1:3404 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-2302
Practice Address - Country:US
Practice Address - Phone:806-792-7531
Practice Address - Fax:806-792-8336
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist