Provider Demographics
NPI:1790195329
Name:SPEAR, PAULA (PHARMD, RPH)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:SPEAR
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13546 MAIR DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2653
Mailing Address - Country:US
Mailing Address - Phone:586-665-1672
Mailing Address - Fax:
Practice Address - Street 1:30800 LITTLE MACK AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-1700
Practice Address - Country:US
Practice Address - Phone:586-415-6164
Practice Address - Fax:586-415-6165
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020320631835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy