Dykstra Drug Store in Holland - Community/retail Pharmacy
Dykstra Drug Store - NPI 1922058908
Dykstra Drug Store is a Community/retail Pharmacy in Holland, Michigan. Dykstra Drug Store practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Dykstra Drug Store is 1922058908. The last update date is 2020-08-22.
Dykstra Drug Store's current location address is 91 Douglas Ave, Holland, Michigan. You can contact this provider via phone number 6163928130 and fax number 6163928025. The mailing address for Dykstra Drug Store is 91 Douglas Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dykstra Drug Store |
|---|---|
| Address | 91 Douglas Ave, Holland, Michigan |
| Phone Number | 6163928130 |
| Fax Number | 6163928025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Klaasen D Thomas |
| Credentials | RPH |
| Telephone Number | 6163928130 |
NPI Number Detail
| NPI Number | 1922058908 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 91 Douglas Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494242188 |
| Phone Number | 6163928130 |
| Fax Number | 6163928025 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5301001241 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4294122 | MI | -- | |
| 2328587 | MI | -- | |
| 2328587 | MI | NCPDP |
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What is the unique 10-digit identification code issued to Dykstra Drug Store by the Centers for Medicare & Medicaid Services?
The Dykstra Drug Store has been assigned the NPI (National Provider Identifier) 1922058908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Dykstra Drug Store located?
The Dykstra Drug Store is located at 91 Douglas Ave, Holland, MI 494242188.
What is the area of specialization for Dykstra Drug Store, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dykstra Drug Store is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
On what date was the 1922058908 assigned to Dykstra Drug Store?
The Dykstra Drug Store was issued its 1922058908 on 2006-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dykstra Drug Store, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dykstra Drug Store, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.