Provider Demographics
NPI:1679813174
Name:ALBRIGHT, SANDRA LEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LEE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 RALPH DR
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9163
Mailing Address - Country:US
Mailing Address - Phone:570-876-3312
Mailing Address - Fax:570-876-4251
Practice Address - Street 1:4 KELLY ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ARCHBALD
Practice Address - State:PA
Practice Address - Zip Code:18403-1627
Practice Address - Country:US
Practice Address - Phone:570-876-3312
Practice Address - Fax:570-876-4251
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037985L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist