Healthcare Provider Details

I. General information

NPI: 1407998669
Provider Name (Legal Business Name): SARAH FORD WHITE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KATHERINE FORD PHARMD

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 EAST CHESTNUT ST, SUITE 180 UNIVERSITY OF LOUISVILLE HEALTHCARE OUTPATIENT CENTER
LOUISVILLE KY
40202
US

IV. Provider business mailing address

2100 GARDINER LANE SULLIVAN UNIVERSITY COLLEGE OF PHARMACY
LOUISVILLE KY
40205
US

V. Phone/Fax

Practice location:
  • Phone: 502-813-6107
  • Fax:
Mailing address:
  • Phone: 502-413-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17206
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number015722
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: