Provider Demographics
NPI:1801135637
Name:ODDO, SARA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:ODDO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:684 N BROAD ST
Mailing Address - Street 2:INGLES PHARMACY
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3176
Mailing Address - Country:US
Mailing Address - Phone:828-883-2358
Mailing Address - Fax:828-883-9576
Practice Address - Street 1:684 N BROAD ST
Practice Address - Street 2:INGLES PHARMACY
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3176
Practice Address - Country:US
Practice Address - Phone:828-883-2358
Practice Address - Fax:828-883-9576
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC19869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist