Provider Demographics
NPI:1174922389
Name:PAWLAK, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PAWLAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 BURCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-4058
Mailing Address - Country:US
Mailing Address - Phone:412-874-4665
Mailing Address - Fax:
Practice Address - Street 1:802 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-1407
Practice Address - Country:US
Practice Address - Phone:412-231-0868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist