Sarah A Abraham

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Appleton, WI

NPI 1528544798 · NPPES record last updated Jul 11, 2018

Key facts

NPI
1528544798
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
19433-10 (WI)
Practice address
3801 N Richmond St
Appleton, WI 54913-9631
Phone
(920) 350-6210
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19433-10WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 19433-10 WI Yes

Addresses

Primary practice location

3801 N Richmond St
Appleton, WI 54913-9631

Mailing address

3133 Tri Park CT Apt 2
Appleton, WI 54914-6425

Other providers in Appleton, WI

All providers in Appleton, WI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

Sources for this page

Verify at the official NPI Registry.