Provider Demographics
NPI:1851578108
Name:BOGART, SARAH L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:L
Last Name:BOGART
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 1:630 24 RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1239
Mailing Address - Country:US
Mailing Address - Phone:970-244-8110
Mailing Address - Fax:970-244-8112
Practice Address - Street 1:630 24 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1239
Practice Address - Country:US
Practice Address - Phone:970-244-8110
Practice Address - Fax:970-244-8112
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist