Provider Demographics
NPI:1104348846
Name:RATZLOFF, SARAH JANE TAYLOR (PHARMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE TAYLOR
Last Name:RATZLOFF
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1510 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-4146
Mailing Address - Country:US
Mailing Address - Phone:507-289-3901
Mailing Address - Fax:
Practice Address - Street 1:1510 N BROADWAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-4146
Practice Address - Country:US
Practice Address - Phone:507-289-3901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist