Provider Demographics
NPI:1285919589
Name:AHLERT, DANIEL CHARLES (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:CHARLES
Last Name:AHLERT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:50 W COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3181
Mailing Address - Country:US
Mailing Address - Phone:269-969-9500
Mailing Address - Fax:269-969-9144
Practice Address - Street 1:50 W COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-3181
Practice Address - Country:US
Practice Address - Phone:269-969-9500
Practice Address - Fax:269-969-9144
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist