Provider Demographics
NPI:1154995819
Name:ROYAL, SARAH JANE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JANE
Last Name:ROYAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 HARBOR VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3424
Mailing Address - Country:US
Mailing Address - Phone:813-645-9729
Mailing Address - Fax:813-641-3039
Practice Address - Street 1:252 HARBOR VILLAGE LN
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3424
Practice Address - Country:US
Practice Address - Phone:813-645-9729
Practice Address - Fax:813-641-3039
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist