Healthcare Provider Details

I. General information

NPI: 1912842675
Provider Name (Legal Business Name): ANDREW J GRABIEL RPHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15774 STATE ST
HILLMAN MI
49746-7961
US

IV. Provider business mailing address

PO BOX 427
HILLMAN MI
49746-0427
US

V. Phone/Fax

Practice location:
  • Phone: 989-354-2197
  • Fax: 989-354-1952
Mailing address:
  • Phone: 989-354-2197
  • Fax: 989-354-1952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302415475
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: