Provider Demographics
NPI:1497998025
Name:DASGUPTA, ARIJIT
Entity Type:Individual
Prefix:
First Name:ARIJIT
Middle Name:
Last Name:DASGUPTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 IVANHOE DR
Mailing Address - Street 2:APP K11
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-6471
Mailing Address - Country:US
Mailing Address - Phone:989-791-4169
Mailing Address - Fax:
Practice Address - Street 1:500 LAFAYETTE AVE
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708
Practice Address - Country:US
Practice Address - Phone:989-892-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist