Provider Demographics
NPI:1932228715
Name:JOE, SARA LOUISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:LOUISE
Last Name:JOE
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 1:14007 BRAMBLE LANE
Mailing Address - Street 2:UNIT 101
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-279-7299
Practice Address - Street 1:2960 LONESOME DOVE RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:MT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-8065
Practice Address - Country:US
Practice Address - Phone:301-607-8744
Practice Address - Fax:301-829-4106
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033013L183500000X
MD11213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist