Provider Demographics
NPI:1982396461
Name:BINSTED, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BINSTED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:KITTREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80457-0236
Mailing Address - Country:US
Mailing Address - Phone:303-710-5717
Mailing Address - Fax:
Practice Address - Street 1:3851 HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9263
Practice Address - Country:US
Practice Address - Phone:303-674-6625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHATP.0016766183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician