Provider Demographics
NPI:1942392337
Name:ROWE, ROBERT MICHAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:ROWE
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 1:15804 S M 43
Mailing Address - Street 2:
Mailing Address - City:HICKORY CORNERS
Mailing Address - State:MI
Mailing Address - Zip Code:49060
Mailing Address - Country:US
Mailing Address - Phone:269-671-5702
Mailing Address - Fax:269-792-6349
Practice Address - Street 1:300 RENO DRIVE
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MI
Practice Address - Zip Code:49348
Practice Address - Country:US
Practice Address - Phone:269-792-6223
Practice Address - Fax:269-792-6349
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist