Provider Demographics
NPI:1063134666
Name:SONDOR, ARCHANA (PHARMD)
Entity type:Individual
Prefix:
First Name:ARCHANA
Middle Name:
Last Name:SONDOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1574 VALENTINE CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1793
Mailing Address - Country:US
Mailing Address - Phone:734-674-4357
Mailing Address - Fax:
Practice Address - Street 1:13000 MIDDLEBELT RD # 2
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2200
Practice Address - Country:US
Practice Address - Phone:734-367-0010
Practice Address - Fax:734-367-0065
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024147101835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy