Provider Demographics
NPI:1265741664
Name:CRAIG, SARA STALLWORTH (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:STALLWORTH
Last Name:CRAIG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 BASSWOOD LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-6283
Mailing Address - Country:US
Mailing Address - Phone:850-933-2913
Mailing Address - Fax:850-671-2941
Practice Address - Street 1:2440 BASSWOOD LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-6283
Practice Address - Country:US
Practice Address - Phone:850-933-2913
Practice Address - Fax:850-671-2941
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist