Provider Demographics
NPI:1063007003
Name:TANDON, SARAH (RPH, PHARMD, BCGP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TANDON
Suffix:
Gender:F
Credentials:RPH, PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5715
Mailing Address - Country:US
Mailing Address - Phone:614-227-0301
Mailing Address - Fax:
Practice Address - Street 1:200 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5715
Practice Address - Country:US
Practice Address - Phone:614-227-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH91032701835G0303X
OH03-2-25211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric