Basic Information
| Provider Information | |||||||||
| NPI: | 1144621426 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAJOREK | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2360 STOCKTON BLVD | ||||||||
| Address2: | SUITE 1200 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958172209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167346386 | ||||||||
| FaxNumber: | 9167345484 | ||||||||
| Practice Location | |||||||||
| Address1: | 2360 STOCKTON BLVD | ||||||||
| Address2: | SUITE 1200 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958172209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167346386 | ||||||||
| FaxNumber: | 9167345484 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2014 | ||||||||
| LastUpdateDate: | 09/05/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 65800 | CA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.