Provider Demographics
NPI:1386351575
Name:BOJRAB, SANDRA ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:ANN
Last Name:BOJRAB
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 1:18150 PENINSULA WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8496
Mailing Address - Country:US
Mailing Address - Phone:734-717-4268
Mailing Address - Fax:
Practice Address - Street 1:23603 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-6401
Practice Address - Country:US
Practice Address - Phone:248-987-5940
Practice Address - Fax:248-987-5941
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist