Provider Demographics
NPI:1053747139
Name:WURZ, SARAH (PHARM D)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WURZ
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 1:2515 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1109
Mailing Address - Country:US
Mailing Address - Phone:315-449-1016
Mailing Address - Fax:315-449-2666
Practice Address - Street 1:2515 ERIE BLVD E
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1109
Practice Address - Country:US
Practice Address - Phone:315-449-1016
Practice Address - Fax:315-449-2666
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist