Ann L Decker, PHARM.D.

Individual provider Active NPI Pharmacist · Greenville, MI

NPI 1508129164 · NPPES record last updated Jun 19, 2012

Key facts

NPI
1508129164
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302029157 (MI)
Practice address
615 S Bower St
Greenville, MI 48838-2614
Phone
(616) 225-6830
Fax
(616) 754-2270
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302029157MIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029157 MI Yes

Addresses

Primary practice location

615 S Bower St
Greenville, MI 48838-2614

Mailing address

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6830

Other providers in Greenville, MI

All providers in Greenville, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.