Healthcare Provider Details

I. General information

NPI: 1508797887
Provider Name (Legal Business Name): VANESSA ROSE HARDRICK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6430 W SAGINAW HWY
LANSING MI
48917-1106
US

IV. Provider business mailing address

6430 W SAGINAW HWY
LANSING MI
48917-1106
US

V. Phone/Fax

Practice location:
  • Phone: 517-886-1323
  • Fax: 517-886-2790
Mailing address:
  • Phone: 517-886-1323
  • Fax: 517-886-2790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5315227949
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: