Healthcare Provider Details

I. General information

NPI: 1003711011
Provider Name (Legal Business Name): SARAH KOREN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 W MAIN ST
WAVERLY VA
23890-3235
US

IV. Provider business mailing address

2851 DEER RUN DR
SOUTH PRINCE GEORGE VA
23805-8058
US

V. Phone/Fax

Practice location:
  • Phone: 804-429-8602
  • Fax: 804-429-8603
Mailing address:
  • Phone: 804-429-8602
  • Fax: 804-426-8603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202217039
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: