Organization
VANDYKE PHARMACY
Active
Organization
VANDYKE PHARMACY
Active
Other names
VANDYKE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BIMAL PATEL RPH (PRESIDENT)
(810) 410-8460
Entity
Organization
Contact information
Practice address
27379 VAN DYKE AVE, WARREN, MI 48093-2805
(586) 757-9777
(586) 757-3278
Mailing address
27379 VAN DYKE AVE, WARREN, MI 48093-2805
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370461
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/14/2007
Last updated
09/12/2008
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