Provider Demographics
NPI:1457982514
Name:DUER, NOEL ROBIN (RPH)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:ROBIN
Last Name:DUER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39625 LEWIS DR STE 800
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2962
Mailing Address - Country:US
Mailing Address - Phone:877-239-7156
Mailing Address - Fax:
Practice Address - Street 1:39625 LEWIS DR STE 800
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2962
Practice Address - Country:US
Practice Address - Phone:877-239-7156
Practice Address - Fax:248-489-1126
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist