Healthcare Provider Details

I. General information

NPI: 1841701257
Provider Name (Legal Business Name): SABRINA SYKES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 10/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W COMMERCE CT
TUCSON AZ
85746-6031
US

IV. Provider business mailing address

1500 W COMMERCE CT
TUCSON AZ
85746-6031
US

V. Phone/Fax

Practice location:
  • Phone: 520-309-3601
  • Fax: 520-806-2631
Mailing address:
  • Phone: 520-309-3601
  • Fax: 520-806-2631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS019143
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: