Provider Demographics
NPI:1386609246
Name:SCHERBEY, LYDIA V (RPH)
Entity type:Individual
Prefix:MS
First Name:LYDIA
Middle Name:V
Last Name:SCHERBEY
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 1:3516 TRIPOLI CT SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7270
Mailing Address - Country:US
Mailing Address - Phone:616-942-5250
Mailing Address - Fax:616-949-0903
Practice Address - Street 1:3516 TRIPOLI CT SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7270
Practice Address - Country:US
Practice Address - Phone:616-942-5250
Practice Address - Fax:616-949-0903
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302021810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist