Healthcare Provider Details

I. General information

NPI: 1922660943
Provider Name (Legal Business Name): SARA ELIZABETH FABER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ELIZABETH OLSON

II. Dates (important events)

Enumeration Date: 06/29/2019
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 VETERANS DR
SAINT CLOUD MN
56303-2015
US

IV. Provider business mailing address

3001 GREEN BAY RD
NORTH CHICAGO IL
60064-3048
US

V. Phone/Fax

Practice location:
  • Phone: 320-252-1670
  • Fax:
Mailing address:
  • Phone: 847-688-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23586
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number23586
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number23586
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: