1275787335 NPI number — MR. GREGORY S BOVEE RPH.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275787335 NPI number — MR. GREGORY S BOVEE RPH.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOVEE
Provider First Name:
GREGORY
Provider Middle Name:
S
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RPH.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275787335
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4250 W CUTLER RD
Provider Second Line Business Mailing Address:
HEALTHY LIFESTYLES, LLC.
Provider Business Mailing Address City Name:
DEWITT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48820-8080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-420-4343
Provider Business Mailing Address Fax Number:
517-669-8166

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4250 W CUTLER RD
Provider Second Line Business Practice Location Address:
HEALTHY LIFESTYLES, LLC.
Provider Business Practice Location Address City Name:
DEWITT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48820-8080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-420-4343
Provider Business Practice Location Address Fax Number:
517-669-8166
Provider Enumeration Date:
11/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  5302022898 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5302022898 . This is a "PHARMACIST AND CONTROLLED SUBSTANCE LICENSE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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