Individual provider · Type 1 NPI

Moumita Datta

Pharmacist · Highland Park, MI

NPI number 1891077954 Active

Practice location

14048 Woodward Ave
Highland Park, MI 48203-3629

Call (313) 869-2177 Map

Mailing address

5634 Fordham Cir Apt 204
Canton, MI 48187-3353

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302039801 (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 1891077954

Moumita Datta's National Provider Identifier is 1891077954, issued on Sep 14, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Highland Park, MI. The record was last updated on Sep 14, 2011.