Healthcare Provider Details

I. General information

NPI: 1003736844
Provider Name (Legal Business Name): KATIE DEBELLIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 S PERE MARQUETTE HWY
LUDINGTON MI
49431-2441
US

IV. Provider business mailing address

2295 REIDSVIEW E
WHITE LAKE MI
48383-3936
US

V. Phone/Fax

Practice location:
  • Phone: 231-845-5399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418988
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: