Provider Demographics
NPI:1881395929
Name:RICE, SARAH (CPHT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-2015
Mailing Address - Country:US
Mailing Address - Phone:717-286-7545
Mailing Address - Fax:
Practice Address - Street 1:3145 MAIN ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:PA
Practice Address - Zip Code:19543-7745
Practice Address - Country:US
Practice Address - Phone:610-286-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA580107010267892183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician