Provider Demographics
NPI:1063834356
Name:TREVER, SHEILA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:TREVER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36600 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-2766
Mailing Address - Country:US
Mailing Address - Phone:586-274-1633
Mailing Address - Fax:586-274-1644
Practice Address - Street 1:36600 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-2766
Practice Address - Country:US
Practice Address - Phone:586-274-1633
Practice Address - Fax:586-274-1644
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist