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Mr. Jonathan Victor Van Lare, PHARMD
Pharmacist in Southfield, Michigan
NPI 1952520462

Jonathan Victor Van Lare is a Pharmacist based in Windsor, MI. Jonathan Victor Van Lare practices in Southfield, MI and has the professional credentials of PHARMD. The NPI Number for Jonathan Victor Van Lare is 1952520462 and holds a License No. 5302035070 (Michigan).

The current practice location address for Jonathan Victor Van Lare is 22777 W 11 Mile Rd, Southfield, MI and can be reached out via phone at 248-358-9160. You can also correspond with Jonathan Victor Van Lare through the mailing address at 1393 MOY AVENUE, WINDSOR, ONTARIO - N8X 4-S5 (mailing address contact number: 519-253-0605).

Location: 22777 W 11 Mile Rd, Southfield, MI, N8X 4-S5
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952520462
Provider Name
Jonathan Victor Van Lare
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
22777 W 11 Mile Rd, Southfield, MI, N8X 4-S5
Phone Number
248-358-9160
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22777 W 11 Mile Rd
City
Southfield
State
Michigan
Zip
48034-2152
Phone Number
248-358-9160
Fax Number
person
Provider Business Mailing Address Details
Address
1393 Moy Avenue
City
Windsor
State
Zip
N8X 4-S5
Phone Number
519-253-0605
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302035070 (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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