Provider Demographics
NPI:1649815028
Name:SNOWDEN, SARAH KIMIKO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KIMIKO
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KIMIKO
Other - Last Name:MATSUBARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32170 STATE ROAD 20
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5747
Mailing Address - Country:US
Mailing Address - Phone:360-675-6688
Mailing Address - Fax:888-405-1944
Practice Address - Street 1:32170 STATE ROAD 20
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5747
Practice Address - Country:US
Practice Address - Phone:360-675-6688
Practice Address - Fax:888-405-1944
Is Sole Proprietor?:No
Enumeration Date:2019-11-09
Last Update Date:2019-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63832183500000X
WAPH60930327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist