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Peter Ponomarev
Pharmacist in Southfield, Michigan
NPI 1881061984

Peter Ponomarev is a Pharmacist based in Troy, MI. Peter Ponomarev practices in Southfield, MI. The NPI Number for Peter Ponomarev is 1881061984 and holds a License No. 5302032680 (Michigan).

The current practice location address for Peter Ponomarev is 15600 W 10 Mile Rd Unit 1B, Southfield, MI and can be reached out via phone at 248-569-7578.

Location: 15600 W 10 Mile Rd Unit 1B, Southfield, MI, 48098-4102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881061984
Provider Name
Peter Ponomarev
Credential
Provider Entity Type
Individual
Gender
Male
Address
15600 W 10 Mile Rd Unit 1B, Southfield, MI, 48098-4102
Phone Number
248-569-7578
Fax Number
Provider Enumeration Date
08/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302032680 01 MI PHARMACIST LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
15600 W 10 Mile Rd Unit 1B
City
Southfield
State
Michigan
Zip
48075-2148
Phone Number
248-569-7578
Fax Number
person
Provider Business Mailing Address Details
Address
15600 W 10 Mile Rd Unit 1B
City
Southfield
State
Michigan
Zip
48075-2148
Phone Number
248-569-7578
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302032680 (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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