Provider Demographics
NPI:1710267349
Name:ARMSTRONG, GEOFFREY (RPH)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:
Last Name:ARMSTRONG
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 1:1965 E BIG BEAVER RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2006
Mailing Address - Country:US
Mailing Address - Phone:248-526-9775
Mailing Address - Fax:248-526-9783
Practice Address - Street 1:1965 E BIG BEAVER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2006
Practice Address - Country:US
Practice Address - Phone:248-526-9775
Practice Address - Fax:248-526-9783
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029437183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist