Provider Demographics
NPI:1013091131
Name:DREW, JOHN E (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:DREW
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 1:294 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3373
Mailing Address - Country:US
Mailing Address - Phone:269-965-5631
Mailing Address - Fax:269-965-3478
Practice Address - Street 1:294 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-3373
Practice Address - Country:US
Practice Address - Phone:269-965-5631
Practice Address - Fax:269-965-3478
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302020399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
B64002515OtherDEA