Provider Demographics
NPI:1679981815
Name:ALAPPATT, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ALAPPATT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 KIRTS BLVD
Mailing Address - Street 2:UNIT 105
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4346
Mailing Address - Country:US
Mailing Address - Phone:248-687-0417
Mailing Address - Fax:
Practice Address - Street 1:2838 E COURT ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48506-4015
Practice Address - Country:US
Practice Address - Phone:810-767-3059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist