Individual provider · Type 1 NPI

Lori Dettloff, R.PH.

Pharmacist · Grand Rapids, MI

NPI number 1386014249 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (616) 685-6128 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302027396 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1386014249

Lori Dettloff, R.PH.'s National Provider Identifier is 1386014249, issued on Oct 3, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 3, 2015.