Provider Demographics
NPI:1831302470
Name:EFROS, HOWARD WILLIAM (R PH)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:EFROS
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 MAPLE LAKES CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3058
Mailing Address - Country:US
Mailing Address - Phone:248-320-0571
Mailing Address - Fax:
Practice Address - Street 1:6427 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2333
Practice Address - Country:US
Practice Address - Phone:248-320-0571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist