Provider Demographics
NPI:1114558053
Name:SCHIRA, NOREEN MARY (RPH)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:MARY
Last Name:SCHIRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27050 JOHN R RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3326
Mailing Address - Country:US
Mailing Address - Phone:248-547-0800
Mailing Address - Fax:248-414-5749
Practice Address - Street 1:27050 JOHN R RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3326
Practice Address - Country:US
Practice Address - Phone:248-547-0800
Practice Address - Fax:248-414-5749
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025846183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist