Provider Demographics
NPI:1104554609
Name:SAAHENE, SYLVIA (PHARMD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:SAAHENE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13942 S ROCKWELL VIEW LN
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9868
Mailing Address - Country:US
Mailing Address - Phone:208-242-7323
Mailing Address - Fax:
Practice Address - Street 1:13942 S ROCKWELL VIEW LN
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9868
Practice Address - Country:US
Practice Address - Phone:208-242-7323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11053263-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist