Individual
CHIRAG SOMPURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
19800 PLYMOUTH RD, DETROIT, MI 48228-1234
(313) 273-9219
(423) 468-3180
Mailing address
19222 NORTHRIDGE DR, NORTHVILLE, MI 48167-2271
(201) 736-4154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
35548
TN
183500000X
Pharmacist
Primary
5302039856
MI
183500000X
Pharmacist
56348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35548
PHARMACIST
TN
01
—
5302039856
PHARMACIST
MI
01
—
56348
PHARMACIST
TX
Enumeration date
10/31/2011
Last updated
05/04/2015
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