Healthcare Provider Details
I. General information
NPI: 1710310008
Provider Name (Legal Business Name): SARAH GRACE STRAMAT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/09/2013
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4111 WILLIAM PENN HWY
MONROEVILLE PA
15146-2601
US
IV. Provider business mailing address
4111 WILLIAM PENN HWY
MONROEVILLE PA
15146-2601
US
V. Phone/Fax
- Phone: 412-372-5288
- Fax: 412-374-9089
- Phone: 412-372-5288
- Fax: 412-374-9089
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP443911 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 0202212021 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: