Individual
DR. SARAH JUSTINE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644
(817) 735-0636
Mailing address
9705 CYPRESS LAKE DRIVE, FORT WORTH, TX 76036
(817) 735-0636
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
15186
OK
1835P1200X
Pharmacotherapy Pharmacist
Primary
54903
TX
Other
Enumeration date
06/17/2013
Last updated
08/08/2014
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