Provider Demographics
NPI:1285780569
Name:LUMMUS, SARA L (PHARM D)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:LUMMUS
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 1:902 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-4077
Mailing Address - Country:US
Mailing Address - Phone:325-658-7555
Mailing Address - Fax:325-653-3224
Practice Address - Street 1:902 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-4077
Practice Address - Country:US
Practice Address - Phone:325-658-7555
Practice Address - Fax:325-653-3224
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202711835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric