Provider Demographics
NPI:1699055152
Name:DROSTE, PAUL D II (RPH)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:D
Last Name:DROSTE
Suffix:II
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 1:9704 CENTERLINE RD
Mailing Address - Street 2:
Mailing Address - City:ONAWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49765-8754
Mailing Address - Country:US
Mailing Address - Phone:989-733-7836
Mailing Address - Fax:
Practice Address - Street 1:9704 CENTERLINE RD
Practice Address - Street 2:
Practice Address - City:ONAWAY
Practice Address - State:MI
Practice Address - Zip Code:49765-8754
Practice Address - Country:US
Practice Address - Phone:989-733-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302030576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist