Provider Demographics
NPI:1093589806
Name:SUNIL KUMAR, ARATHY (RPH)
Entity Type:Individual
Prefix:
First Name:ARATHY
Middle Name:
Last Name:SUNIL KUMAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-3722
Mailing Address - Country:US
Mailing Address - Phone:517-265-6675
Mailing Address - Fax:517-263-8207
Practice Address - Street 1:1314 N WEST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-2051
Practice Address - Country:US
Practice Address - Phone:517-783-1803
Practice Address - Fax:517-783-2088
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302415631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist