Provider Demographics
NPI:1891305751
Name:JAGER, SARAH RUTH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RUTH
Last Name:JAGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:JAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:346 STONEGATE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7071
Mailing Address - Country:US
Mailing Address - Phone:205-447-4538
Mailing Address - Fax:
Practice Address - Street 1:2453 2ND AVE E
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-2791
Practice Address - Country:US
Practice Address - Phone:205-625-3643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist