Provider Demographics
NPI:1881175446
Name:SZCZEPANKIEWICZ, ROBERT PIOTR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PIOTR
Last Name:SZCZEPANKIEWICZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9885 OAKHILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-8786
Mailing Address - Country:US
Mailing Address - Phone:248-820-7108
Mailing Address - Fax:
Practice Address - Street 1:419 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-5658
Practice Address - Country:US
Practice Address - Phone:734-485-4621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist