Provider Demographics
NPI:1124064969
Name:HELM, GEORGE D (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:D
Last Name:HELM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21290 S MACKINAC TRL
Mailing Address - Street 2:
Mailing Address - City:RUDYARD
Mailing Address - State:MI
Mailing Address - Zip Code:49780-9393
Mailing Address - Country:US
Mailing Address - Phone:906-478-3314
Mailing Address - Fax:
Practice Address - Street 1:2864 ASHMUN ST
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-3740
Practice Address - Country:US
Practice Address - Phone:906-632-5236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020030062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist