Provider Demographics
NPI:1205135076
Name:SARAU, JOSEPHINE KWAN (PHARMACIST)
Entity type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:KWAN
Last Name:SARAU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 DOUBLE CHURCHES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-2601
Mailing Address - Country:US
Mailing Address - Phone:706-641-8100
Mailing Address - Fax:
Practice Address - Street 1:2300 WYNNTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2533
Practice Address - Country:US
Practice Address - Phone:706-327-1215
Practice Address - Fax:706-322-3603
Is Sole Proprietor?:No
Enumeration Date:2011-03-19
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist