Kyle Rich

Individual provider Active NPI Pharmacotherapy Pharmacist · Birch Run, MI

NPI 1982188405 · NPPES record last updated Sep 20, 2018

Key facts

NPI
1982188405
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
5302042711 (MI)
Practice address
9515 Birch Run Rd
Birch Run, MI 48415-9613
Phone
(989) 624-1610
NPI assigned
Sep 20, 2018
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
5302042711MIMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 5302042711 MI Yes

Addresses

Primary practice location

9515 Birch Run Rd
Birch Run, MI 48415-9613

Mailing address

9454 Reese Rd
Birch Run, MI 48415-9441

Other providers in Birch Run, MI

All providers in Birch Run, MI · Pharmacotherapy Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.