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Mark Mittlestat
Pharmacist in Livonia, Michigan
NPI 1861970204

Mark Mittlestat is a Pharmacist based in Livonia, MI. Mark Mittlestat practices in Livonia, MI. The NPI Number for Mark Mittlestat is 1861970204 and holds a License No. 5302022896 (Michigan).

The current practice location address for Mark Mittlestat is 31320 Five Mile Rd, Livonia, MI and can be reached out via phone at 734-427-3430.

Location: 31320 Five Mile Rd, Livonia, MI, 48154-3680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861970204
Provider Name
Mark Mittlestat
Credential
Provider Entity Type
Individual
Gender
Male
Address
31320 Five Mile Rd, Livonia, MI, 48154-3680
Phone Number
734-427-3430
Fax Number
Provider Enumeration Date
07/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31320 Five Mile Rd
City
Livonia
State
Michigan
Zip
48154-3680
Phone Number
734-427-3430
Fax Number
person
Provider Business Mailing Address Details
Address
31320 Five Mile Rd
City
Livonia
State
Michigan
Zip
48154-3680
Phone Number
734-427-3430
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302022896 (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.
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