Healthcare Provider Details

I. General information

NPI: 1578912820
Provider Name (Legal Business Name): SARAH KATHLEEN HOCKMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W BROAD ST
COLUMBUS OH
43228-1607
US

IV. Provider business mailing address

5100 W BROAD ST
COLUMBUS OH
43228-1607
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-2494
  • Fax:
Mailing address:
  • Phone: 614-544-2494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03124261
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: