Provider Demographics
NPI:1578844841
Name:HOUGH, ROBERT LYNN (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LYNN
Last Name:HOUGH
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 1:1570 E PIERSON RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-1817
Mailing Address - Country:US
Mailing Address - Phone:810-659-1062
Mailing Address - Fax:810-659-1419
Practice Address - Street 1:1570 E PIERSON RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-1817
Practice Address - Country:US
Practice Address - Phone:810-659-1062
Practice Address - Fax:810-659-1419
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist