Provider Demographics
NPI:1356910764
Name:SATHER, ABBIGAIL M (PHARMD)
Entity type:Individual
Prefix:
First Name:ABBIGAIL
Middle Name:M
Last Name:SATHER
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:N4123 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:SARONA
Mailing Address - State:WI
Mailing Address - Zip Code:54870-9127
Mailing Address - Country:US
Mailing Address - Phone:763-772-4902
Mailing Address - Fax:
Practice Address - Street 1:N4123 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:SARONA
Practice Address - State:WI
Practice Address - Zip Code:54870-9127
Practice Address - Country:US
Practice Address - Phone:763-772-4902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19893-40183500000X
MN120582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist