Provider Demographics
NPI:1376290981
Name:MURE, ANDREW ALBERT II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ALBERT
Last Name:MURE
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47640 MILONAS DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-5031
Mailing Address - Country:US
Mailing Address - Phone:586-945-2730
Mailing Address - Fax:
Practice Address - Street 1:26220 CROCKER BLVD
Practice Address - Street 2:
Practice Address - City:HARRISON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48045-2455
Practice Address - Country:US
Practice Address - Phone:586-954-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1221206944Medicaid