Provider Demographics
NPI:1942654124
Name:BADAWY, SARA Y (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:Y
Last Name:BADAWY
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 1:11220 RANCH CREEK TER
Mailing Address - Street 2:APT 208
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4021
Mailing Address - Country:US
Mailing Address - Phone:201-736-9225
Mailing Address - Fax:
Practice Address - Street 1:11220 RANCH CREEK TER
Practice Address - Street 2:APT 208
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-4021
Practice Address - Country:US
Practice Address - Phone:201-736-9225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist