Sara Elaine Dugan, PHARM.D., BCPP

Individual provider Active NPI Psychiatric Pharmacist · Rootstown, OH

NPI 1477500478 · NPPES record last updated Aug 16, 2012

Key facts

NPI
1477500478
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric Pharmacist 1835P1300X
License
03-1-25655 (OH)
Practice address
4209 State Route 44
Rootstown, OH 44272-9698
Phone
(330) 325-6119
Fax
(330) 325-5951
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

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
20 050212NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20 050212 NY
Psychiatric Pharmacist 1835P1300X 20 050212 NY
Psychiatric Pharmacist 1835P1300X 03-1-25655 OH Yes
Pharmacist 183500000X 03-1-25655 OH

Addresses

Primary practice location

4209 State Route 44
Rootstown, OH 44272-9698

Mailing address

4209 State Route 44
PO Box 95
Rootstown, OH 44272-9698
Phone (330) 325-6119

Other providers in Rootstown, OH

All providers in Rootstown, OH · Psychiatric Pharmacist in Ohio

Sources for this page

Verify at the official NPI Registry.