Peter Anthony Dobrzelewski, RPH
Individual provider Active NPI Pharmacist · Manistee, MI
NPI 1356664544 · NPPES record last updated Mar 2, 2010
Key facts
- NPI
- 1356664544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302411292 (MI)
- Practice address
- 1560 US 31 S
Manistee, MI 49660-2223 - Phone
- (231) 723-8500
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411292 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302411292 | MI | Yes |
Addresses
Primary practice location
1560 US 31 S
Manistee, MI 49660-2223
Mailing address
3474 N Sherman Rd
Ludington, MI 49431-8515
Phone (231) 845-2606
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.