Provider Demographics
NPI:1801318746
Name:LUNSFORD, SARA ALYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ALYNN
Last Name:LUNSFORD
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 1:1878 N NORMANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-3529
Mailing Address - Country:US
Mailing Address - Phone:386-473-9627
Mailing Address - Fax:
Practice Address - Street 1:2431 S WOODLAND BLVD
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-8637
Practice Address - Country:US
Practice Address - Phone:386-734-5369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist