Provider Demographics
NPI:1255677993
Name:KRISH, SARAH MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:KRISH
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 1:316 W HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4922
Mailing Address - Country:US
Mailing Address - Phone:803-795-8650
Mailing Address - Fax:
Practice Address - Street 1:2055 WEDGEFIELD RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-4654
Practice Address - Country:US
Practice Address - Phone:803-773-5979
Practice Address - Fax:803-773-6088
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12173183500000X, 1835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear