Provider Demographics
NPI:1023606621
Name:LEDFORD, SARAH ALAINE RHYNE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALAINE RHYNE
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ALAINE
Other - Last Name:RHYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1450 E ZION RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4988
Mailing Address - Country:US
Mailing Address - Phone:479-444-7200
Mailing Address - Fax:479-444-7205
Practice Address - Street 1:1450 E ZION RD STE 1
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4988
Practice Address - Country:US
Practice Address - Phone:479-444-7200
Practice Address - Fax:479-444-7205
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist