Most Relevant Information
Provider Data
NPI Number: | 1003267378 |
Provider Name: | MASATO CHARLES SUGENO PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | RP449589 |
Most Important Dates
Enumeration Date: | 06/28/2016 |
Last Updated: | 06/28/2016 |
Provider Practice Location
5501 WOODLAND AVE
PHILADELPHIA
PA
191435607
Practice Location Phone/Fax
Phone: | 2157293912 |
Fax: |
Provider Mailing Location
1228 S 46TH ST
PHILADELPHIA
PA
191433826
Provider Mailing Phone/Fax
Phone: | 6099021231 |
Fax: |