Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TODD SUPER, PHARM.D., BCPS
Active Sole ProprietorAmbulatory Care Pharmacist · PAW PAW, MI
Registration Details
- NPI Number
- 1053729269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2014 (11.725520809774 yrs)
- Last Updated
- Jul 10, 2018
- Licenses
-
5302036387 (MI)5302036387 (MI)5302036387 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
451 HEALTH PKWYPAW PAW, MI, 49079Browse MI providers · Browse ZIP 49079
- Phone
- 2696551735
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
- Additional Specialty
- Pharmacotherapy Specialist
- Additional Specialty
- Ambulatory Care Pharmacist
Other Ambulatory Care Pharmacist Providers in PAW PAW, MI
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH SIMMONS GRAHAM | PHARMD | 1861155442 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.