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Dr. Dominique Marie Patthanachardenphon, PHARMD
Pharmacist in Grand Rapids, Michigan
NPI 1871618967

Dominique Marie Patthanachardenphon is a Pharmacist based in Grand Rapids, MI. Dominique Marie Patthanachardenphon practices in Grand Rapids, MI and has the professional credentials of PHARMD. The NPI Number for Dominique Marie Patthanachardenphon is 1871618967 and holds a License No. 051-289748 (Michigan).

The current practice location address for Dominique Marie Patthanachardenphon is 665 Seward Ave Nw Ste 320, Grand Rapids, MI and can be reached out via phone at 616-267-7029.

Location: 665 Seward Ave Nw Ste 320, Grand Rapids, MI, 49504-5190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871618967
Provider Name
Dominique Marie Patthanachardenphon
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
665 Seward Ave Nw Ste 320, Grand Rapids, MI, 49504-5190
Phone Number
616-267-7029
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
665 Seward Ave Nw Ste 320
City
Grand Rapids
State
Michigan
Zip
49504-5190
Phone Number
616-267-7029
Fax Number
person
Provider Business Mailing Address Details
Address
665 Seward Ave Nw Ste 320
City
Grand Rapids
State
Michigan
Zip
49504-5190
Phone Number
616-267-7029
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051-289748 (Illinois)
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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