Provider Demographics
NPI:1457725202
Name:BESHAY, SARAH (PHARMD, APH)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:BESHAY
Suffix:
Gender:F
Credentials:PHARMD, APH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4960 HEATHERDALE LN
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3550
Mailing Address - Country:US
Mailing Address - Phone:818-913-9043
Mailing Address - Fax:
Practice Address - Street 1:4544 SWINDON WAY
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5306
Practice Address - Country:US
Practice Address - Phone:818-913-9043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74037183500000X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist