Individual
PROF. SARA MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4122 E TOWNE BLVD, MADISON, WI 53704-3732
(608) 242-6862
(608) 245-6125
Mailing address
4705 DUSTIN LN, MADISON, WI 53718-4319
(608) 838-6746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13119-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13119-040
PHARMACIST
WI
Enumeration date
11/21/2006
Last updated
07/08/2007
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