Healthcare Provider Details

I. General information

NPI: 1942656467
Provider Name (Legal Business Name): SARAH LYNN FELS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 MISSION ST
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

2424 MISSION ST
SAN FRANCISCO CA
94110
US

V. Phone/Fax

Practice location:
  • Phone: 415-826-2484
  • Fax:
Mailing address:
  • Phone: 415-826-2484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 72551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: