Individual
DENNIS MICHAEL VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1201 S OCEAN BLVD, SUITE 14, POMPANO BEACH, FL 33062-6668
(954) 942-1866
(866) 709-4405
Mailing address
1201 S OCEAN BLVD, SUITE 14, POMPANO BEACH, FL 33062-6668
(954) 942-1866
(866) 709-4405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS24195
PHARMACY LICENSE
FL
Enumeration date
02/17/2012
Last updated
02/17/2012
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