Provider Demographics
NPI:1760803217
Name:UHDE, NATHAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:UHDE
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 1:2333 S CENTER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48519-1147
Mailing Address - Country:US
Mailing Address - Phone:810-744-9710
Mailing Address - Fax:810-744-9765
Practice Address - Street 1:2333 S CENTER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48519-1147
Practice Address - Country:US
Practice Address - Phone:810-744-9710
Practice Address - Fax:810-744-9765
Is Sole Proprietor?:No
Enumeration Date:2014-01-01
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist