Provider Demographics
NPI:1629459631
Name:FITZHUGH, SARAH (PHARMACIST)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FITZHUGH
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, MPH
Mailing Address - Street 1:702 HERITAGE HLS
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-2404
Mailing Address - Country:US
Mailing Address - Phone:501-831-3390
Mailing Address - Fax:
Practice Address - Street 1:702 HERITAGE HLS
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-2404
Practice Address - Country:US
Practice Address - Phone:501-831-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist