Healthcare Provider Details

I. General information

NPI: 1366750200
Provider Name (Legal Business Name): SARAH MARIE GRIFFITHS PHARM. D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH MARIE MARTIN PHARM. D

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6690 W UNION HILLS DR
GLENDALE AZ
85308-1011
US

IV. Provider business mailing address

7701 W SAINT JOHN RD APT 1092
GLENDALE AZ
85308-8622
US

V. Phone/Fax

Practice location:
  • Phone: 623-561-5319
  • Fax:
Mailing address:
  • Phone: 763-443-9316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberS018135
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: