Provider Demographics
NPI:1124261516
Name:BRYCE, SARAH C (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:C
Last Name:BRYCE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:THOMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:501 E. HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661
Mailing Address - Country:US
Mailing Address - Phone:989-345-0080
Mailing Address - Fax:989-343-0113
Practice Address - Street 1:501 E. HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661
Practice Address - Country:US
Practice Address - Phone:989-345-0080
Practice Address - Fax:989-343-0113
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist