Provider Demographics
NPI:1992157861
Name:PALACIO, SARAH MARIE-LEONALL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE-LEONALL
Last Name:PALACIO
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 1:1995 WELLNESS BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7772
Mailing Address - Country:US
Mailing Address - Phone:704-384-1140
Mailing Address - Fax:704-316-5651
Practice Address - Street 1:1995 WELLNESS BLVD STE 110
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7772
Practice Address - Country:US
Practice Address - Phone:704-384-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7001721835P0018X
NC26154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist