Provider Demographics
NPI:1356198543
Name:RHYMER, SARA NICOLE (PHARM D)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:NICOLE
Last Name:RHYMER
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 1:1045 TROY OFALLON RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:IL
Mailing Address - Zip Code:62294-2401
Mailing Address - Country:US
Mailing Address - Phone:618-558-5136
Mailing Address - Fax:
Practice Address - Street 1:1190 COLLINSVILLE CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-1880
Practice Address - Country:US
Practice Address - Phone:618-558-5136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051306257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist