Provider Demographics
NPI:1053173039
Name:VALENCIA, SARAH (CPHT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 HIWASSEE CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7984
Mailing Address - Country:US
Mailing Address - Phone:757-763-0877
Mailing Address - Fax:757-763-0877
Practice Address - Street 1:5200 HIWASSEE CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7984
Practice Address - Country:US
Practice Address - Phone:757-763-0877
Practice Address - Fax:757-763-0877
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230002856183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician