Provider Demographics
NPI:1952616096
Name:DAVIS, SARAH LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:DAVIS
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 1:7311 MILESTRIP RD APT B
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1410
Mailing Address - Country:US
Mailing Address - Phone:716-807-4496
Mailing Address - Fax:
Practice Address - Street 1:1454 UNION RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2112
Practice Address - Country:US
Practice Address - Phone:716-677-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist