Provider Demographics
NPI:1922215854
Name:BREUER, SARAH J (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:J
Last Name:BREUER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 TWIN CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:TONGANOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:66086-4165
Mailing Address - Country:US
Mailing Address - Phone:816-289-7935
Mailing Address - Fax:
Practice Address - Street 1:516 E 4TH ST
Practice Address - Street 2:
Practice Address - City:TONGANOXIE
Practice Address - State:KS
Practice Address - Zip Code:66086-8920
Practice Address - Country:US
Practice Address - Phone:913-369-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist