Healthcare Provider Details

I. General information

NPI: 1144503723
Provider Name (Legal Business Name): ROBIN A CURTIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 GEZON PKWY SW STE E-100
WYOMING MI
49509-9397
US

IV. Provider business mailing address

1550 GEZON PKWY SW STE E-100
WYOMING MI
49509-9397
US

V. Phone/Fax

Practice location:
  • Phone: 616-878-8616
  • Fax: 616-878-8850
Mailing address:
  • Phone: 616-878-8616
  • Fax: 616-878-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302034758
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302034758
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: