Provider Demographics
NPI:1356714539
Name:COWART, SARAH ANTHON (PHARMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANTHON
Last Name:COWART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:GABRIELLE
Other - Last Name:ANTHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 W CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-5051
Mailing Address - Country:US
Mailing Address - Phone:409-920-2318
Mailing Address - Fax:
Practice Address - Street 1:707 W CHERRY AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-5051
Practice Address - Country:US
Practice Address - Phone:409-920-2318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist