Provider Demographics
NPI:1548310980
Name:STREVEY, SARA A (PHARM D)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:STREVEY
Suffix:
Gender:F
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 1:20940 RAWHIDE RD
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-1841
Mailing Address - Country:US
Mailing Address - Phone:402-763-9688
Mailing Address - Fax:
Practice Address - Street 1:5011 S 108TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2313
Practice Address - Country:US
Practice Address - Phone:402-933-3311
Practice Address - Fax:402-933-3301
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist