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NPI Code Detail

MEDICARE: SHIRLEY SAYLES RPH

MEDICARE: SHIRLEY SAYLES RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302019579MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12354328OTHERMINABP

General Provider Information

NPI Number : 1477669224
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY SAYLES RPH
Provider Business Mailing Address
First Line : 34338 BROOKSHIRE DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-5614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26755 BALLARD ST
Second Line :
City : HARRISON TOWNSHIP
State : MI
Zip : 48045-2419
Country : US
Telephone Number : 586-466-5230
Fax Number : 586-466-5477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/08/2007

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