Healthcare Provider Details

I. General information

NPI: 1003578055
Provider Name (Legal Business Name): SARA KUTNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 LAUREL RD E
NORTH VENICE FL
34275-3226
US

IV. Provider business mailing address

5174 ASHER CT
SARASOTA FL
34232-3641
US

V. Phone/Fax

Practice location:
  • Phone: 941-261-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS51798
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: