| Doctor Name: | MRS. BARBARA ANN VANDERHAGEN |
| NPI Number: | 1912123019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPHT |
| License Number: | 090102258016179 |
| Business Practice Address: | 14500 Hall Rd Sterling Hts, MI - 483131229 |
| Business Phone Number: | 5862472997 |
| Business Fax Number: | 5862472983 |
| Mailing Address: | 37251 Charter Oaks Blvd, CLINTON TOWNSHIP |
| State: | MI |
| Postal Code: | 480362412 |
| Phone Number: | 5862472997 |
| Fax Number: | 5862472983 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 090102258016179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |