Provider Demographics
NPI:1104480433
Name:ROBERTS, SARAH ANN (RPH)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DRSARAH ANN CELLANA
Mailing Address - Street 1:354 NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-3628
Mailing Address - Country:US
Mailing Address - Phone:413-822-8348
Mailing Address - Fax:
Practice Address - Street 1:50 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2401
Practice Address - Country:US
Practice Address - Phone:413-663-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist