Provider Demographics
NPI:1881812808
Name:SARRA, ANGELA A (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:A
Last Name:SARRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 STATE RD
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-2522
Mailing Address - Country:US
Mailing Address - Phone:724-684-3360
Mailing Address - Fax:724-684-3360
Practice Address - Street 1:60 DONNER AVE.
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062
Practice Address - Country:US
Practice Address - Phone:724-684-0153
Practice Address - Fax:724-684-7952
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037271L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist