Provider Demographics
NPI:1184214272
Name:BRYCE, SARAH KAY (RPH)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KAY
Last Name:BRYCE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 OYSTER POND FURLONG ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1828
Mailing Address - Country:US
Mailing Address - Phone:508-801-5176
Mailing Address - Fax:
Practice Address - Street 1:62 OYSTER POND FURLONG ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1828
Practice Address - Country:US
Practice Address - Phone:508-801-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist