Provider Demographics
NPI:1891366530
Name:SYKES, CHERYL DAWN (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:DAWN
Last Name:SYKES
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1048
Mailing Address - Country:US
Mailing Address - Phone:517-437-3373
Mailing Address - Fax:
Practice Address - Street 1:300 W CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1048
Practice Address - Country:US
Practice Address - Phone:517-437-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-04
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303018690183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician