Provider Demographics
NPI:1396463592
Name:EISCHER, SARAH MAXINE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MAXINE
Last Name:EISCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1589 HASLETT RD
Mailing Address - Street 2:
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-8424
Mailing Address - Country:US
Mailing Address - Phone:517-339-5832
Mailing Address - Fax:
Practice Address - Street 1:1589 HASLETT RD
Practice Address - Street 2:
Practice Address - City:HASLETT
Practice Address - State:MI
Practice Address - Zip Code:48840-8424
Practice Address - Country:US
Practice Address - Phone:517-339-5832
Practice Address - Fax:517-339-0135
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303042709183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician