Healthcare Provider Details

I. General information

NPI: 1376186247
Provider Name (Legal Business Name): SARAH A COLLINS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 DANIELLE DR
NIAGARA FALLS NY
14304-4626
US

IV. Provider business mailing address

2525 DANIELLE DR
NIAGARA FALLS NY
14304-4626
US

V. Phone/Fax

Practice location:
  • Phone: 716-308-8900
  • Fax:
Mailing address:
  • Phone: 716-308-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number066297
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: