Healthcare Provider Details

I. General information

NPI: 1043146871
Provider Name (Legal Business Name): COURTNEY TOTH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 W MAIN ST STE 400
FLUSHING MI
48433-2032
US

IV. Provider business mailing address

218 W MAIN ST STE 400
FLUSHING MI
48433-2032
US

V. Phone/Fax

Practice location:
  • Phone: 989-720-7555
  • Fax: 989-720-7560
Mailing address:
  • Phone: 989-720-7555
  • Fax: 989-720-7560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302413927
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: