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Dr. Kevin Fantich
Pharmacist in Southfield, Michigan
NPI 1316113921

Kevin Fantich is a Pharmacist based in Southfield, MI. Kevin Fantich practices in Southfield, MI. The NPI Number for Kevin Fantich is 1316113921 and holds a License No. PS48603 (Michigan).

The current practice location address for Kevin Fantich is 26711 Northwestern Highway, Southfield, MI and can be reached out via phone at 248-948-9900. You can also correspond with Kevin Fantich through the mailing address at 26711 NORTHWESTERN HIGHWAY, SOUTHFIELD, MI - 48033-2154 (mailing address contact number: ).

Location: 26711 Northwestern Highway, Southfield, MI, 48033-2154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316113921
Provider Name
Kevin Fantich
Credential
Provider Entity Type
Individual
Gender
Male
Address
26711 Northwestern Highway, Southfield, MI, 48033-2154
Phone Number
248-948-9900
Fax Number
Provider Enumeration Date
05/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302035536 01 MI MI CONTROLLED SUBSTANCE LICENSE
PS48603 01 FL FL CONTROLLED SUBSTANCE LICENSE
institution
Provider Business Practice Location Address Details
Address
26711 Northwestern Highway
City
Southfield
State
Michigan
Zip
48033-2154
Phone Number
248-948-9900
Fax Number
person
Provider Business Mailing Address Details
Address
26711 Northwestern Highway
City
Southfield
State
Michigan
Zip
48033-2154
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302035536 (Michigan)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
PS48603 (Florida)
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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