Provider Demographics
NPI:1922330919
Name:BADAGLIALACQUA, SARA (PHARMD, CGP)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:BADAGLIALACQUA
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 E MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4422
Mailing Address - Country:US
Mailing Address - Phone:480-627-0667
Mailing Address - Fax:480-862-1033
Practice Address - Street 1:8901 E MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4422
Practice Address - Country:US
Practice Address - Phone:480-627-0667
Practice Address - Fax:480-862-1033
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017275183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist