Most Relevant Information
Provider Data
| NPI Number: | 1003041658 |
| Provider Name: | ROBERT PHETTEPLACE R. PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302020780 |
Most Important Dates
| Enumeration Date: | 05/27/2009 |
| Last Updated: | 05/27/2009 |
Provider Practice Location
2100 N M 76
SAINT HELEN
MI
486569209
Practice Location Phone/Fax
| Phone: | 9893897252 |
| Fax: | 9893897253 |
Provider Mailing Location
2100 N M 76
P.O. BOX 38
SAINT HELEN
MI
486569209
Provider Mailing Phone/Fax
| Phone: | 9893897252 |
| Fax: | 9893897253 |