NPI 1003267378

Masato Charles Sugeno, PHARMD

Practitioner Pharmacist Philadelphia, PA

Practice location

Address: 5501 Woodland Ave, Philadelphia, PA 19143-5607
Phone: (215) 729-3912
Mailing address: 1228 S 46th St, Philadelphia, PA 19143-3826

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP449589 (PA)

Other Pharmacist providers in Pennsylvania →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence A1-0004684 (DE)

Registry record

NPI: 1003267378
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2016
Record last updated: 28 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.