Healthcare Provider Details

I. General information

NPI: 1285498238
Provider Name (Legal Business Name): SHAJAL BUFALINI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 ELLIOTT DR # 202
YPSILANTI MI
48197-1032
US

IV. Provider business mailing address

5709 PINE VIEW DR
YPSILANTI MI
48197-8961
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-2227
  • Fax: 734-712-0229
Mailing address:
  • Phone: 734-660-2889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5315119373
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number5315119373
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5315119373
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number5315119373
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: