Provider Demographics
NPI:1992928204
Name:VOKITS, MICHAEL JOHN (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOHN
Last Name:VOKITS
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 1:1250 W RIDGEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-9620
Mailing Address - Country:US
Mailing Address - Phone:231-924-2361
Mailing Address - Fax:
Practice Address - Street 1:53 S. MAPLE
Practice Address - Street 2:
Practice Address - City:GRANT
Practice Address - State:MI
Practice Address - Zip Code:49327-0125
Practice Address - Country:US
Practice Address - Phone:231-834-5744
Practice Address - Fax:231-834-9280
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302021348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302021348OtherPHARMACY LICENSE