Provider Demographics
NPI:1902564222
Name:OH, SARAH SEIYOUNG (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SEIYOUNG
Last Name:OH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 RED MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-5735
Mailing Address - Country:US
Mailing Address - Phone:609-613-2496
Mailing Address - Fax:
Practice Address - Street 1:24 SUMMERFIELD BLVD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-2438
Practice Address - Country:US
Practice Address - Phone:732-329-2935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04204100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist