NPI Code Details Logo

NPI 1154084895

NPI 1154084895 : SABRINA DUNHAM PHARMD, BCPS, BCCP : ANN ARBOR, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154084895
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SABRINA DUNHAM PHARMD, BCPS, BCCP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/19/2021
-----------------------------------------------------
    Last Update Date     |    07/25/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1500 E MEDICAL CENTER DR 
-----------------------------------------------------
    City                 |    ANN ARBOR
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48109-5000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-936-4000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1499 HICKORY VALLEY RD 
-----------------------------------------------------
    City                 |    MILFORD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48380-4270
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-284-7160
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1835P0018X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
-----------------------------------------------------
    License Number       |    5302414340
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.