Healthcare Provider Details

I. General information

NPI: 1154449635
Provider Name (Legal Business Name): BRENDA CAROLYN SAYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 24TH ST
PORT HURON MI
48060-4812
US

IV. Provider business mailing address

19789 TRANQUILITY DR
MACOMB MI
48042-3713
US

V. Phone/Fax

Practice location:
  • Phone: 810-987-7155
  • Fax: 810-987-4017
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302032476
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: