Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lori Dettloff, RPH

Individual provider Pharmacist · NPI 1386014249

Mrs. Lori Dettloff, RPH is a Pharmacist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 685-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302027396 (MI)

Record details

NPI number1386014249
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedOctober 3, 2015
Last updated in NPPESOctober 3, 2015

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