Provider Demographics
NPI:1922321637
Name:GALLE, SARAH SUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SUE
Last Name:GALLE
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 1:1329 HORAN DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-1939
Mailing Address - Country:US
Mailing Address - Phone:636-779-2700
Mailing Address - Fax:636-779-2704
Practice Address - Street 1:1329 HORAN DR
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-1939
Practice Address - Country:US
Practice Address - Phone:636-779-2700
Practice Address - Fax:636-779-2704
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009020946183500000X
IL051.293687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist