Provider Demographics
NPI:1932431178
Name:LEVINE, MICHELE ROBYN (RPH)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ROBYN
Last Name:LEVINE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2405
Mailing Address - Country:US
Mailing Address - Phone:973-635-6200
Mailing Address - Fax:
Practice Address - Street 1:195 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2405
Practice Address - Country:US
Practice Address - Phone:973-635-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RL 023128001835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support