Provider Demographics
NPI:1295272896
Name:YAKHIN, SARA DEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:DEE
Last Name:YAKHIN
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 1:6106 N NAVARRO ST
Mailing Address - Street 2:PHARMACY
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6106 N NAVARRO ST
Practice Address - Street 2:PHARMACY
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1769
Practice Address - Country:US
Practice Address - Phone:361-572-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-21
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist