Provider Demographics
NPI:1467734715
Name:ARCHEY, SANDRA V (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:V
Last Name:ARCHEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:SANDRA
Other - Middle Name:V
Other - Last Name:KNETTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7260 PEARL RD.
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HTS.
Mailing Address - State:OH
Mailing Address - Zip Code:44130
Mailing Address - Country:US
Mailing Address - Phone:440-886-2353
Mailing Address - Fax:440-886-2412
Practice Address - Street 1:7260 PEARL RD.
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HTS.
Practice Address - State:OH
Practice Address - Zip Code:44130
Practice Address - Country:US
Practice Address - Phone:440-886-2353
Practice Address - Fax:440-886-2412
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03319963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist