Individual provider · Type 1 NPI

Suryakumari Polisetti

Pharmacist · Clarkston, MI

NPI number 1386887107 Active

Practice location

5751 Clarkston Rd
Clarkston, MI 48348-4707

Fax (248) 625-1354

Mailing address

201 N Squirrel Rd, APT#901
Auburn Hills, MI 48326-4015

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302034803 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1386887107

Suryakumari Polisetti's National Provider Identifier is 1386887107, issued on Apr 8, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Clarkston, MI. The record was last updated on Apr 8, 2009.