IndividualActive
Bradley Tetlow, RPH
NPI 1013327469 · Pharmacotherapy Pharmacist · Grand Rapids, MI
Provider details
- NPI number
- 1013327469
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 5302026046 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3757 Plainfield Ave Ne
Grand Rapids, MI 49525-2403
Phone: (616) 365-1433
Fax: (616) 365-1465
Approximate (ZIP-level) locationGet directions
Mailing address
3757 Plainfield Ave Ne
Grand Rapids, MI 49525-2403
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2014-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.