Individual provider · Type 1 NPI

Joseph A. Mitidieri, RPH

Pharmacist · Kentwood, MI

NPI number 1639455736 Active

Practice location

6020 Kalamazoo Ave SE
Kentwood, MI 49508-7018

Call (616) 698-9165 Map

Mailing address

5464 Discovery Dr SE
Kentwood, MI 49508-6650

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302028142 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1639455736

Joseph A. Mitidieri, RPH's National Provider Identifier is 1639455736, issued on Nov 2, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kentwood, MI. The record was last updated on Nov 2, 2011.