Provider Demographics
NPI:1871878553
Name:SPROAT, SARAH SHELTON (PHARMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SHELTON
Last Name:SPROAT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MEADOWS
Other - Last Name:SHELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6236 TEAL ST
Mailing Address - Street 2:UNIT 2C
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-0152
Mailing Address - Country:US
Mailing Address - Phone:252-217-6700
Mailing Address - Fax:
Practice Address - Street 1:3302 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1320
Practice Address - Country:US
Practice Address - Phone:910-772-0686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist