Provider Demographics
NPI:1245516004
Name:SARNO, JAMIE LYNN (RPH)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:LYNN
Last Name:SARNO
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 1:7603 ROYAL TIMBERS LN
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-9403
Mailing Address - Country:US
Mailing Address - Phone:419-474-2028
Mailing Address - Fax:419-474-6277
Practice Address - Street 1:7603 ROYAL TIMBERS LN
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-9403
Practice Address - Country:US
Practice Address - Phone:419-474-2028
Practice Address - Fax:419-474-6277
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03330884183500000X
MI5302038237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist