Healthcare Provider Details

I. General information

NPI: 1083532865
Provider Name (Legal Business Name): CARL DANIEL PEARSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 S SAGINAW ST
FLINT MI
48507-2605
US

IV. Provider business mailing address

4100 S SAGINAW ST
FLINT MI
48507-2605
US

V. Phone/Fax

Practice location:
  • Phone: 855-427-4682
  • Fax:
Mailing address:
  • Phone: 855-427-4682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302039979
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: