Organization
DYNAMIC CARE PHARMACY LLC
Active
Organization
DYNAMIC CARE PHARMACY LLC
Active
Other names
Dynamic Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIP PATEL (OWNER/MANAGER)
(248) 850-1802
Entity
Organization
Contact information
Practice address
4121 W 13 MILE RD, ROYAL OAK, MI 48073-6655
(248) 850-1802
(248) 850-1803
Mailing address
4119 W 13 MILE RD, ROYAL OAK, MI 48073-6655
(248) 850-1802
(248) 850-1803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009742
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133163
PK
—
Enumeration date
11/29/2011
Last updated
11/18/2022
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