Provider Demographics
NPI:1720628183
Name:HERBERT, SARAH N (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:N
Last Name:HERBERT
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 1:15400 WALDRON WAY
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-8890
Mailing Address - Country:US
Mailing Address - Phone:231-527-0210
Mailing Address - Fax:
Practice Address - Street 1:15400 WALDRON WAY
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-8890
Practice Address - Country:US
Practice Address - Phone:231-527-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302411791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist