Healthcare Provider Details

I. General information

NPI: 1316011745
Provider Name (Legal Business Name): SHARON K SWEENEY R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 SMITH AVE
LANSING MI
48910-1360
US

IV. Provider business mailing address

1010 SMITH AVE
LANSING MI
48910-1360
US

V. Phone/Fax

Practice location:
  • Phone: 517-349-4443
  • Fax:
Mailing address:
  • Phone: 734-905-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number5302028891
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: