Provider Demographics
NPI:1649387010
Name:NEMETH, FRANK (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:NEMETH
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 1:1402 W 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3901
Mailing Address - Country:US
Mailing Address - Phone:248-543-9781
Mailing Address - Fax:
Practice Address - Street 1:1700 JUNCTION ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209-2110
Practice Address - Country:US
Practice Address - Phone:313-843-8770
Practice Address - Fax:313-843-8775
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4108595Medicaid