Healthcare Provider Details
I. General information
NPI: 1619107786
Provider Name (Legal Business Name): SARAH OPRINOVICH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2009
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 NE BARRY RD
KANSAS CITY MO
64155-2879
US
IV. Provider business mailing address
7760 E 37TH AVE
HOBART IN
46342-2490
US
V. Phone/Fax
- Phone: 816-468-7666
- Fax: 816-436-0403
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 26023409A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 2009021420 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: