Provider Demographics
NPI:1396840302
Name:RATTI, ANTHONY TODD (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:TODD
Last Name:RATTI
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 1:215 COLORADO
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:MI
Mailing Address - Zip Code:49017
Mailing Address - Country:US
Mailing Address - Phone:269-966-9248
Mailing Address - Fax:
Practice Address - Street 1:108 S WEBSTER
Practice Address - Street 2:ASKLERS AUGUSTA PHARMACY N MORE
Practice Address - City:AUGUSTA
Practice Address - State:MI
Practice Address - Zip Code:49012
Practice Address - Country:US
Practice Address - Phone:269-731-2400
Practice Address - Fax:269-731-2465
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist