Healthcare Provider Details

I. General information

NPI: 1124455597
Provider Name (Legal Business Name): SARAH MARIE BIERMACHER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 10/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2643 KALAMAZOO AVE SE
GRAND RAPIDS MI
49507-3900
US

IV. Provider business mailing address

1705 PLYMOUTH AVE SE
GRAND RAPIDS MI
49506-4439
US

V. Phone/Fax

Practice location:
  • Phone: 616-452-3573
  • Fax: 616-452-6418
Mailing address:
  • Phone: 616-633-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302039343
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: