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Dr. Thomas Walter Bodendorfer, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lathrup Village, Michigan
NPI 1104548999

Thomas Walter Bodendorfer is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Lathrup Village, MI and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Thomas Walter Bodendorfer practices in Lathrup Village, MI and has the professional credentials of PHARMD. The NPI Number for Thomas Walter Bodendorfer is 1104548999 and holds a License No. 5302021966 (Michigan).

The current practice location address for Thomas Walter Bodendorfer is 28053 Sunset Blvd W, Lathrup Village, MI and can be reached out via phone at 248-252-9720.

Location: 28053 Sunset Blvd W, Lathrup Village, MI, 48076-7016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104548999
Provider Name
Thomas Walter Bodendorfer
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
28053 Sunset Blvd W, Lathrup Village, MI, 48076-7016
Phone Number
248-252-9720
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-2462706 01 MI LARA STATE MICHIGAN SMALL BUSINESS LICENSING
institution
Provider Business Practice Location Address Details
Address
28053 Sunset Blvd W
City
Lathrup Village
State
Michigan
Zip
48076-7016
Phone Number
248-252-9720
Fax Number
person
Provider Business Mailing Address Details
Address
28053 Sunset Blvd W
City
Lathrup Village
State
Michigan
Zip
48076-7016
Phone Number
248-252-9720
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
5302021966 (Michigan)
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.
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