Healthcare Provider Details

I. General information

NPI: 1760669410
Provider Name (Legal Business Name): SARA K MAIER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 01/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 PARKVIEW PL FL 7 CAMPUS BOX 8615
SAINT LOUIS MO
63110-1032
US

IV. Provider business mailing address

4588 PARKVIEW PL
SAINT LOUIS MO
63110-1029
US

V. Phone/Fax

Practice location:
  • Phone: 314-446-8532
  • Fax: 314-446-8500
Mailing address:
  • Phone: 314-446-8532
  • Fax: 314-446-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number2006033365
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number17251
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: