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DYNAMIC CARE PHARMACY LLC NPI 1407123953


NPI Information

NPI: 1407123953
Provider Name: DYNAMIC CARE PHARMACY LLC

Doing Business As: DYNAMIC CARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2251887

Address:
4121 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 850-1802
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DYNAMIC CARE PHARMACY LLC is a community/retail pharmacy pharmacy in Royal Oak, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DYNAMIC CARE PHARMACY LLC NPI is 1407123953. The provider is registered as an organization entity type.
The provider Is Doing Business As Dynamic Care Pharmacy.

The provider's business location address is:

4121 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073-655
Phone: (248) 850-1802
Fax: (248) 850-1803

The provider's authorized official is Sandip Patel .
The authorized official title is Owner/manager and has the following contact phone number (248) 850-1802.

The CLIA number assigned to this NPI record is 23D2251887 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2011 and was last updated on 11/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy5301009742MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12133163OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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