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Dylan R Detlor, PHARMD
Pharmacist in Bolivar, Missouri
NPI 1912613514

Dylan R Detlor is a Pharmacist based in Bolivar, MO. Dylan R Detlor practices in Bolivar, MO and has the professional credentials of PHARMD. The NPI Number for Dylan R Detlor is 1912613514 and holds a License No. 2020018332 (Missouri).

The current practice location address for Dylan R Detlor is 2451 S Springfield Ave, Bolivar, MO and can be reached out via phone at 417-326-5225.

Location: 2451 S Springfield Ave, Bolivar, MO, 65613-9123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912613514
Provider Name
Dylan R Detlor
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2451 S Springfield Ave, Bolivar, MO, 65613-9123
Phone Number
417-326-5225
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2451 S Springfield Ave
City
Bolivar
State
Missouri
Zip
65613-9123
Phone Number
417-326-5225
Fax Number
person
Provider Business Mailing Address Details
Address
2451 S Springfield Ave
City
Bolivar
State
Missouri
Zip
65613-9123
Phone Number
417-326-5225
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2020018332 (Missouri)
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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