Individual
DR. SARAH ELIZABETH SIENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4367
Mailing address
6512 DURANGO DR, FORT WAYNE, IN 46815-7849
(219) 613-0623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025636A
IN
183500000X
Pharmacist
5302042490
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26025636A
INDIANA PHARMACIST LICENSE NUMBER
IN
Enumeration date
05/02/2018
Last updated
05/02/2018
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