Healthcare Provider Details

I. General information

NPI: 1851980742
Provider Name (Legal Business Name): SARAH ALBANESE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 ELM ST
LUDLOW KY
41016-1520
US

IV. Provider business mailing address

125 COLLEGE PARK DR
CRESTVIEW HILLS KY
41017-2566
US

V. Phone/Fax

Practice location:
  • Phone: 859-261-2210
  • Fax:
Mailing address:
  • Phone: 859-750-2941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number013749
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: