Provider Demographics
NPI:1861820961
Name:SAVOIE, SANDRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:SAVOIE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:SAVOIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6470 S MACKINAC TRL
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-8902
Mailing Address - Country:US
Mailing Address - Phone:906-632-5236
Mailing Address - Fax:906-632-5296
Practice Address - Street 1:735 S GARFIELD AVE STE 205
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3463
Practice Address - Country:US
Practice Address - Phone:231-421-3039
Practice Address - Fax:231-421-3318
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist