Kevin Fantich in Southfield - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Kevin Fantich - NPI 1316113921
Kevin Fantich is a Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist in Southfield, Michigan. Kevin Fantich practices all healthcare services and medical treatments related to Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist. The NPI Number for Kevin Fantich is 1316113921. The last update date is 2012-08-27.
Kevin Fantich's current location address is 26711 Northwestern Highway, Southfield, Michigan. You can contact this provider via phone number 2489489900. The mailing address for Kevin Fantich is 26711 Northwestern Highway, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Fantich |
|---|---|
| Address | 26711 Northwestern Highway, Southfield, Michigan |
| Phone Number | 2489489900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316113921 |
|---|---|
| Provider Enumeration Date | 2008-05-03 |
| Last Updated Date | 2012-08-27 |
Provider Mailing Address Detail
| Address | 26711 Northwestern Highway |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480332154 |
| Phone Number | 2489489900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|---|
| Taxonomy | 1835P0018X |
| Licence No | PS48603 |
|
Definition: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5302035536 | MI | MI CONTROLLED SUBSTANCE LICENS | |
| PS48603 | FL | FL CONTROLLED SUBSTANCE LICENS |
Post Comment/ Review Below
What is the Kevin Fantich's unique identification number?
The Kevin Fantich has been assigned the NPI (National Provider Identifier) Number 1316113921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kevin Fantich's facilities are geographically located?
The facilities of Kevin Fantich are physically situated at the following location: 26711 Northwestern Highway, Southfield, MI, 480332154.
What is Kevin Fantich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Fantich is Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist, and the taxonomy classification code that categorizes this area of expertise is 1835P0018X.
When did Kevin Fantich receive its 1316113921 assignment?
The Kevin Fantich was assigned its 1316113921 on 2008-05-03, which is the date when this unique identifier was issued to the organization.
When was the Kevin Fantich's information last updated?
The Kevin Fantich's information was last updated on 2012-08-27.
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