Provider Demographics
NPI:1417255001
Name:SPERLING, ANDREW MICHAEL
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:MICHAEL
Last Name:SPERLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:MICHAEL
Other - Last Name:SPERLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:24920 FAIRMOUNT BLVD
Mailing Address - Street 2:21800 LIBBY RD
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2246
Mailing Address - Country:US
Mailing Address - Phone:216-402-9363
Mailing Address - Fax:
Practice Address - Street 1:21800 LIBBY RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2947
Practice Address - Country:US
Practice Address - Phone:216-662-7470
Practice Address - Fax:216-662-1166
Is Sole Proprietor?:No
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03218134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist