Provider Demographics
NPI:1316011745
Name:SWEENEY, SHARON K (RPH)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:K
Last Name:SWEENEY
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 1:1010 SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1360
Mailing Address - Country:US
Mailing Address - Phone:734-905-0700
Mailing Address - Fax:
Practice Address - Street 1:1010 SMITH AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1360
Practice Address - Country:US
Practice Address - Phone:517-349-4443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020288911835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric