Healthcare Provider Details

I. General information

NPI: 1629382106
Provider Name (Legal Business Name): SARAH MARIE BOGERS PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. SARAH BOGERS

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JEFFERSON BARRACKS DR
SAINT LOUIS MO
63125-4181
US

IV. Provider business mailing address

10000 BAY PINES BLVD
BAY PINES FL
37740
US

V. Phone/Fax

Practice location:
  • Phone: 314-894-5767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46407
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: