Provider Demographics
NPI:1194956763
Name:SINDHA, VAIBHAVI (PHARMACIST)
Entity type:Individual
Prefix:
First Name:VAIBHAVI
Middle Name:
Last Name:SINDHA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 SAXTON DR
Mailing Address - Street 2:APT # 9
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3298
Mailing Address - Country:US
Mailing Address - Phone:989-714-4928
Mailing Address - Fax:989-755-2108
Practice Address - Street 1:3403 E GENESEE AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-4212
Practice Address - Country:US
Practice Address - Phone:989-752-8240
Practice Address - Fax:989-755-2105
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist