Provider Demographics
NPI:1609924315
Name:ERICH T. HOWARD
Entity Type:Organization
Organization Name:ERICH T. HOWARD
Other - Org Name:AP SPECIALTY MEDICATIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:586-254-3568
Mailing Address - Street 1:12316 24 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-1716
Mailing Address - Country:US
Mailing Address - Phone:586-254-3568
Mailing Address - Fax:586-254-3569
Practice Address - Street 1:12316 24 MILE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-1716
Practice Address - Country:US
Practice Address - Phone:586-254-3568
Practice Address - Fax:586-254-3569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410843183500000X
MI5301008109332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2366905OtherNCPDP
MI4837853Medicaid
MI5636870001Medicare ID - Type Unspecified