Healthcare Provider Details

I. General information

NPI: 1427131622
Provider Name (Legal Business Name): H ARTHUR SUGARMAN R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 E GRAND RIVER AVE
LANSING MI
48912-4300
US

IV. Provider business mailing address

31311 SCENIC VIEW CIR
FARMINGTON HILLS MI
48334-4523
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-8640
  • Fax: 517-364-8644
Mailing address:
  • Phone: 248-478-0631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302028100
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: