Individual provider · Type 1 NPI

Jennifer Rebecca Dykstra, PharmD

Pharmacist · Traverse City, MI

NPI number 1720136955 Active

Practice location

550 Munson Ave, Suite G100
Traverse City, MI 49686-3580

Mailing address

1720 Apache Pass
Traverse City, MI 49686-2817

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302031831 (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 1720136955

Jennifer Rebecca Dykstra, PharmD's National Provider Identifier is 1720136955, issued on Jan 5, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Traverse City, MI. The record was last updated on Jul 8, 2007.