Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER CHARLES DRACH III
ActivePharmacist Clinician (PhC) · MORLEY, MI
Registration Details
- NPI Number
- 1053162743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2024 (2.0833994429252 yrs)
- Last Updated
- Mar 29, 2024
- Licenses
-
5302025850 (MI)5302025850 (MI)
Practice Information
- Address
-
4489 110TH AVEMORLEY, MI, 493369721Browse MI providers · Browse ZIP 49336
- Phone
- 9898181049
- Fax
- 9893526253
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.