Provider Demographics
NPI:1437635562
Name:SICKELS, SONJA (PHARM D)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:SICKELS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 N LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-7107
Mailing Address - Country:US
Mailing Address - Phone:314-921-7345
Mailing Address - Fax:314-921-7346
Practice Address - Street 1:8200 N LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-7107
Practice Address - Country:US
Practice Address - Phone:314-921-7345
Practice Address - Fax:314-921-7346
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007026066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist