Provider Demographics
NPI:1427333228
Name:FELKER, SARAH MYRACLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MYRACLE
Last Name:FELKER
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 1:4383 OREGON RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-6409
Mailing Address - Country:US
Mailing Address - Phone:901-603-6331
Mailing Address - Fax:
Practice Address - Street 1:2115 MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3915
Practice Address - Country:US
Practice Address - Phone:615-382-9388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist