Provider Demographics
NPI:1285080655
Name:RAINES, SARAH T (PHARMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:T
Last Name:RAINES
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 1:109 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-5115
Mailing Address - Country:US
Mailing Address - Phone:270-926-6172
Mailing Address - Fax:
Practice Address - Street 1:2951 HEARTLAND CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-7669
Practice Address - Country:US
Practice Address - Phone:270-359-7510
Practice Address - Fax:270-359-7565
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY123551835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy