Provider Demographics
NPI:1336574433
Name:TINNEY, SARAH MARIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:TINNEY
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 1:700 MCKINNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLONIAL BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:22443-1925
Mailing Address - Country:US
Mailing Address - Phone:804-224-2318
Mailing Address - Fax:
Practice Address - Street 1:700 MCKINNEY BLVD
Practice Address - Street 2:
Practice Address - City:COLONIAL BEACH
Practice Address - State:VA
Practice Address - Zip Code:22443-1925
Practice Address - Country:US
Practice Address - Phone:804-224-2318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-08
Last Update Date:2013-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist