Provider Demographics
NPI:1104235860
Name:MARINO, SARAH RITTER (PHARMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RITTER
Last Name:MARINO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:B
Other - Last Name:RITTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 STRACK DR
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1596
Mailing Address - Country:US
Mailing Address - Phone:845-831-4800
Mailing Address - Fax:
Practice Address - Street 1:18 STRACK DR
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1596
Practice Address - Country:US
Practice Address - Phone:845-831-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447355183500000X
NYI058128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist