Provider Demographics
NPI:1619240504
Name:POSNER, ERWIN H (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERWIN
Middle Name:H
Last Name:POSNER
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 1:28422 TAVISTOCK TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-2019
Mailing Address - Country:US
Mailing Address - Phone:248-354-4153
Mailing Address - Fax:
Practice Address - Street 1:28422 TAVISTOCK TRL
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-2019
Practice Address - Country:US
Practice Address - Phone:248-354-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302020292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist