Individual
JOHN SAMPUGNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51008 GRATIOT AVE, CHESTERFIELD, MI 48051-2006
(586) 948-0118
Mailing address
23137 GREENCREST ST, SAINT CLAIR SHORES, MI 48080-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033197
MI
Other
Enumeration date
10/29/2011
Last updated
10/29/2011
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