Provider Demographics
NPI:1821112566
Name:SARDO, PAMELA (PHARMD, BS)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:SARDO
Suffix:
Gender:F
Credentials:PHARMD, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3173 GUNSMOKE DR
Mailing Address - Street 2:
Mailing Address - City:FARMERSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75442-8326
Mailing Address - Country:US
Mailing Address - Phone:469-352-4556
Mailing Address - Fax:
Practice Address - Street 1:3173 GUNSMOKE DR
Practice Address - Street 2:
Practice Address - City:FARMERSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75442-8326
Practice Address - Country:US
Practice Address - Phone:469-352-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5880183500000X
NH2474183500000X
FL19786183500000X
RI3895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist