Individual
BABITHA SUDHAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
841 S STATE RD, DAVISON, MI 48423-1751
(810) 653-7485
(810) 658-9565
Mailing address
4525 WALDEN DR, BLOOMFIELD HILLS, MI 48301-1150
(248) 862-6675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035391
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302035391
PHARMACY LICENSE
MI
Enumeration date
06/24/2017
Last updated
06/24/2017
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