IndividualActive
David Bermudez, PHARMD
NPI 1417625997 · Pharmacotherapy Pharmacist · Southgate, MI
Provider details
- NPI number
- 1417625997
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 5302413749 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
16300 Fort St
Southgate, MI 48195-1421
Phone: (734) 284-4250
Approximate (ZIP-level) locationGet directions
Mailing address
8639 Glengary St
Dearborn Hts, MI 48127-1282
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.