Provider Demographics
NPI:1871830547
Name:BYERS, SARA SUGIMOTO (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:SUGIMOTO
Last Name:BYERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:CENNE
Other - Last Name:SUGIMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9765 EQUUS CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-4333
Mailing Address - Country:US
Mailing Address - Phone:786-302-3027
Mailing Address - Fax:
Practice Address - Street 1:9765 EQUUS CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4333
Practice Address - Country:US
Practice Address - Phone:786-302-3027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist