Provider Demographics
NPI:1912998980
Name:FROSCH, ANNETTE L (RPH)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:L
Last Name:FROSCH
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 1:1671 BANKERS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-8640
Mailing Address - Country:US
Mailing Address - Phone:517-610-1220
Mailing Address - Fax:
Practice Address - Street 1:30 N HOWELL ST
Practice Address - Street 2:NASH DRUGS, INC.
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1621
Practice Address - Country:US
Practice Address - Phone:517-437-4497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025445183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist