Sarah Baldelli, PHARMD

Individual provider Active NPI Pharmacist · Farmerville, LA

NPI 1396147286 · NPPES record last updated Sep 23, 2014

Key facts

NPI
1396147286
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
020617 (LA)
Practice address
833 Sterlington Hwy
Farmerville, LA 71241-3805
Phone
(318) 368-3280
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
020617LAMDPharmacist
55655TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Past Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020617 LA Yes
Pharmacist 183500000X 55655 TX

Addresses

Primary practice location

833 Sterlington Hwy
Farmerville, LA 71241-3805

Mailing address

833 Sterlington Hwy
Farmerville, LA 71241-3805
Phone (318) 368-3280

Other identifiers

IdentifierTypeStateIssuer
55655OtherTXTEXAS STATE BOARD OF PHARMACY LICENSE
020617OtherLALOUISIANA BOARD OF PHARMACY LICENSE

Other providers in Farmerville, LA

All providers in Farmerville, LA · Pharmacist in Louisiana

Sources for this page

Verify at the official NPI Registry.