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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOMINIQUE MARIE PATTHANACHARDENPHON, PHARM.D.

Active

DR. DOMINIQUE MARIE PATTHANACHARDENPHON, PHARM.D. is a Pharmacist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1871618967 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GRAND RAPIDS, MI

Registration Details

NPI Number
1871618967
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2007 (19.385782751311 yrs)
Last Updated
Jun 14, 2017
License
051-289748 (IL)

Practice Information

Address
665 SEWARD AVE NW STE 320
GRAND RAPIDS, MI, 495045190
Browse MI providers · Browse ZIP 49504
Phone
6162677029
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in GRAND RAPIDS, MI

Name Credential NPI
MR. THOMAS A. MAGNIFICO RPH 1407859457
DENNISE AILEEN ESPENDEZ PHARM.D. 1861490971
DR. CATHLEEN MARIE EDICK PHARMD 1265431852
DR. BRIAN JAMES BERRYHILL PHARM.D. 1669467494
MR. ALAN MICHAEL GOLDMAN RPH 1063409340
DR. TAMMY GEIGER PHARM.D. 1326039397
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.