NPI 1013049584

Robert B Witham, RPH

Practitioner Pharmacist Grand Rapids, MI

Practice location

Address: 5859 28th St SE, Grand Rapids, MI 49546-6905
Phone: (616) 949-9892
Fax: (616) 949-5709
Mailing address: 3408 Thornapple River Dr SE, Grand Rapids, MI 49546-9138

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302021924 (MI)

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Registry record

NPI: 1013049584
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.