Provider Demographics
NPI:1366736415
Name:NEWHOUSE, ANDREW PHILIP (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PHILIP
Last Name:NEWHOUSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2887 S ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4580
Mailing Address - Country:US
Mailing Address - Phone:248-844-5471
Mailing Address - Fax:
Practice Address - Street 1:2887 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4580
Practice Address - Country:US
Practice Address - Phone:248-844-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist