Healthcare Provider Details

I. General information

NPI: 1336461169
Provider Name (Legal Business Name): HONORATA GRZESIAK-SOCHA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HONORATA GRZESIAK PHARM.D.

II. Dates (important events)

Enumeration Date: 02/21/2010
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43611 SCHOENHERR RD
STERLING HEIGHTS MI
48313
US

IV. Provider business mailing address

43611 SCHOENHERR RD
STERLING HEIGHTS MI
48313
US

V. Phone/Fax

Practice location:
  • Phone: 586-254-8418
  • Fax: 586-254-8431
Mailing address:
  • Phone: 586-254-8418
  • Fax: 586-254-8431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302033149
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: