Healthcare Provider Details

I. General information

NPI: 1679922736
Provider Name (Legal Business Name): SARAH ZAFAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 MAIN ST
OWEGO NY
13827-1779
US

IV. Provider business mailing address

153 MAIN ST
OWEGO NY
13827-1779
US

V. Phone/Fax

Practice location:
  • Phone: 607-687-0891
  • Fax:
Mailing address:
  • Phone: 607-687-0891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number061589
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: