Provider Demographics
NPI:1891215786
Name:CONNOLLY, SASHA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:CONNOLLY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:CERNEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2720 BRANTLEY DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-9707
Mailing Address - Country:US
Mailing Address - Phone:919-537-1521
Mailing Address - Fax:
Practice Address - Street 1:693 LOMBARD RD
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-9054
Practice Address - Country:US
Practice Address - Phone:717-246-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist