Healthcare Provider Details

I. General information

NPI: 1508393836
Provider Name (Legal Business Name): SARAH JO BIRMINGHAM RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4533 MONROE ST
TOLEDO OH
43613-4700
US

IV. Provider business mailing address

3462 STERNS RD
LAMBERTVILLE MI
48144-9576
US

V. Phone/Fax

Practice location:
  • Phone: 419-471-9240
  • Fax: 419-471-9458
Mailing address:
  • Phone: 734-854-7980
  • Fax: 734-854-2890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03122767
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number5302042211
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03122767
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: