Provider Demographics
NPI:1699652073
Name:PLETZ, SANDRA DARLENE (RPH)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DARLENE
Last Name:PLETZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5438 HARBOUR LANDINGS DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2559
Mailing Address - Country:US
Mailing Address - Phone:513-379-1833
Mailing Address - Fax:
Practice Address - Street 1:6175 HI TEK CT
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2603
Practice Address - Country:US
Practice Address - Phone:513-459-7626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03122582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist