Provider Demographics
NPI:1871812768
Name:GUERRIERI, ROBERT ORFEO (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ORFEO
Last Name:GUERRIERI
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 1:62627 POND DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-1333
Mailing Address - Country:US
Mailing Address - Phone:586-781-8706
Mailing Address - Fax:586-781-8958
Practice Address - Street 1:46977 ROMEO PLANK RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-3509
Practice Address - Country:US
Practice Address - Phone:586-286-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024704183500000X
FLPS25825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist