Provider Demographics
NPI:1962726315
Name:SLEIGHT, SANDRA (RPH)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:SLEIGHT
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 1:333 BUTTERNUT DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DE WITT
Mailing Address - State:NY
Mailing Address - Zip Code:13214-1981
Mailing Address - Country:US
Mailing Address - Phone:315-424-7027
Mailing Address - Fax:315-424-7638
Practice Address - Street 1:333 BUTTERNUT DR
Practice Address - Street 2:SUITE 102
Practice Address - City:DE WITT
Practice Address - State:NY
Practice Address - Zip Code:13214-1981
Practice Address - Country:US
Practice Address - Phone:315-424-7027
Practice Address - Fax:315-424-7638
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist