Healthcare Provider Details

I. General information

NPI: 1386562809
Provider Name (Legal Business Name): SARAH LYNN FEEZLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1977 NILES RD SE
WARREN OH
44484-5118
US

IV. Provider business mailing address

4779 SHADOW OAK DR UNIT A
YOUNGSTOWN OH
44515-3765
US

V. Phone/Fax

Practice location:
  • Phone: 330-393-6446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License Number03442317
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03442317
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03442317
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03442317
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: