Provider Demographics
NPI:1669082251
Name:SCHYLLANDER, SARAH JANE
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JANE
Last Name:SCHYLLANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3134 CRAGMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3711
Mailing Address - Country:US
Mailing Address - Phone:419-346-2767
Mailing Address - Fax:
Practice Address - Street 1:8239 WATERVILLE SWANTON RD
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-9725
Practice Address - Country:US
Practice Address - Phone:419-878-8384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist