Provider Demographics
NPI:1174611073
Name:SAPERSTEIN, SHERYL LYNN (RPH)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:LYNN
Last Name:SAPERSTEIN
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 1:7177 S OAK CT W
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2078
Mailing Address - Country:US
Mailing Address - Phone:248-669-0523
Mailing Address - Fax:248-668-8453
Practice Address - Street 1:2300 HAGGERTY RD STE 1070
Practice Address - Street 2:
Practice Address - City:W BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2185
Practice Address - Country:US
Practice Address - Phone:248-668-1212
Practice Address - Fax:248-668-8453
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302026360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302026360OtherPHARMACIST LICENSE NUMBER