Provider Demographics
NPI:1265210512
Name:SERAFIMOVSKI, SARA (PHARMD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SERAFIMOVSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8502 LILLIAN DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-3843
Mailing Address - Country:US
Mailing Address - Phone:858-309-2712
Mailing Address - Fax:
Practice Address - Street 1:7887 26 MILE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-3820
Practice Address - Country:US
Practice Address - Phone:586-677-3438
Practice Address - Fax:586-677-5293
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302415587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist