Provider Demographics
NPI:1699055301
Name:FRIES, SARAH J (PHARMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:FRIES
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 1:4 E LEAGUE ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-1308
Mailing Address - Country:US
Mailing Address - Phone:419-668-0424
Mailing Address - Fax:419-668-8405
Practice Address - Street 1:4 E LEAGUE ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-1308
Practice Address - Country:US
Practice Address - Phone:419-668-0424
Practice Address - Fax:419-668-8405
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist