Provider Demographics
NPI:1679582597
Name:NOBLE, SARA LINDA (PHARMD)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:LINDA
Last Name:NOBLE
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 1:455 E PEACE ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-4620
Mailing Address - Country:US
Mailing Address - Phone:601-859-7537
Mailing Address - Fax:601-859-3398
Practice Address - Street 1:1301 E PEACE ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-4937
Practice Address - Country:US
Practice Address - Phone:601-859-4212
Practice Address - Fax:601-859-4260
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-6623183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy