Provider Demographics
NPI:1215459581
Name:OSTENFELD, SARAH THOLSTRUP (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:THOLSTRUP
Last Name:OSTENFELD
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 1:3031 DREWSKY LN UNIT 105
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-0102
Mailing Address - Country:US
Mailing Address - Phone:803-210-5362
Mailing Address - Fax:
Practice Address - Street 1:8322 PINEVILLE MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4707
Practice Address - Country:US
Practice Address - Phone:704-496-5227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-08
Last Update Date:2017-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist