Dominique Marie Patthanacharden in Grand Rapids - Pharmacist
Dominique Marie Patthanacharden - NPI 1871618967
Dominique Marie Patthanacharden is a Pharmacist in Grand Rapids, Michigan. Dominique Marie Patthanacharden practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Dominique Marie Patthanacharden is 1871618967. The last update date is 2017-06-14.
Dominique Marie Patthanacharden's current location address is 665 Seward Ave Nw Ste 320, Grand Rapids, Michigan. You can contact this provider via phone number 6162677029. The mailing address for Dominique Marie Patthanacharden is 665 Seward Ave Nw Ste 320, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Marie Patthanacharden |
|---|---|
| Address | 665 Seward Ave Nw Ste 320, Grand Rapids, Michigan |
| Phone Number | 6162677029 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1871618967 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
| Address | 665 Seward Ave Nw Ste 320 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495045190 |
| Phone Number | 6162677029 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 051-289748 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dominique Marie Patthanacharden by the Centers for Medicare & Medicaid Services?
The Dominique Marie Patthanacharden has been issued the NPI (National Provider Identifier) 1871618967 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dominique Marie Patthanacharden is physically located?
The Dominique Marie Patthanacharden is situated at the following address: 665 Seward Ave Nw Ste 320, Grand Rapids, MI 495045190.
What is Dominique Marie Patthanacharden's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dominique Marie Patthanacharden's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871618967 to Dominique Marie Patthanacharden?
The Dominique Marie Patthanacharden received its 1871618967 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the Dominique Marie Patthanacharden's information last updated?
The Dominique Marie Patthanacharden's information was last updated on 2017-06-14.
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