Provider Demographics
NPI:1720031065
Name:VALENTINE, DAVID P (MS, CPHT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:P
Last Name:VALENTINE
Suffix:
Gender:M
Credentials:MS, CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 BROWNING DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1817
Mailing Address - Country:US
Mailing Address - Phone:248-462-9320
Mailing Address - Fax:
Practice Address - Street 1:2675 BROWNING DR
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1817
Practice Address - Country:US
Practice Address - Phone:248-462-9320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5303002125OtherBOARD OF PHARMACY LICENSE