Provider Demographics
NPI:1023469905
Name:BARDEN, SARAH MERCKE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MERCKE
Last Name:BARDEN
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 1:408 KALAMAZOO PLZ
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48933-1919
Mailing Address - Country:US
Mailing Address - Phone:517-377-0240
Mailing Address - Fax:
Practice Address - Street 1:408 KALAMAZOO PLZ
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1919
Practice Address - Country:US
Practice Address - Phone:517-377-0240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302043828183500000X
VA0202214295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist