Provider Demographics
NPI:1043508948
Name:KNAUER, SARAH (PHARM D)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KNAUER
Suffix:
Gender:
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W NEWPORT ST
Mailing Address - Street 2:
Mailing Address - City:GLEN LYON
Mailing Address - State:PA
Mailing Address - Zip Code:18617-1246
Mailing Address - Country:US
Mailing Address - Phone:570-239-2450
Mailing Address - Fax:
Practice Address - Street 1:1000 E MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711-0001
Practice Address - Country:US
Practice Address - Phone:570-808-3696
Practice Address - Fax:570-214-3575
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445717183500000X
PAPI110499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP1005025OtherPA STATE BOARD OF PHARMACY
PARP445717OtherPA STATE BOARD OF PHARMACY