Healthcare Provider Details

I. General information

NPI: 1154046662
Provider Name (Legal Business Name): SARAH F FORREST PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W CHARLESTON BLVD
LAS VEGAS NV
89102-2329
US

IV. Provider business mailing address

650 WHITNEY RANCH DR APT 3613
HENDERSON NV
89014-2620
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-2039
  • Fax:
Mailing address:
  • Phone: 508-431-8716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number23188
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: