Provider Demographics
NPI:1174823959
Name:RHODUS, MICHAEL CLEVELAND (RPH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CLEVELAND
Last Name:RHODUS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1158
Mailing Address - Country:US
Mailing Address - Phone:828-324-8254
Mailing Address - Fax:828-324-8324
Practice Address - Street 1:2915 N CENTER ST
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1158
Practice Address - Country:US
Practice Address - Phone:828-324-8254
Practice Address - Fax:828-324-8324
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC91791835P0018X
SC51061835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist