Provider Demographics
NPI:1063425445
Name:TRASK, SANDRA J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:J
Last Name:TRASK
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:PHARMACY (119)
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-857-0556
Mailing Address - Fax:214-857-0585
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:PHARMACY (119)
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0556
Practice Address - Fax:214-857-0585
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMRP000047071835P1200X
CARPH389151835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy