Dr. Dominique Marie Patthanachardenphon
Pharmacist
665 Seward Ave Nw Ste 320, Grand Rapids
Michigan, 49504-5190
616-267-7029 Dr. Dominique Marie Patthanachardenphon is a pharmacist in Grand Rapids, Michigan. Patients can reach her at 665 Seward Ave Nw Ste 320, Grand Rapids or contact her on 616-267-7029. Active license number of Dr. Dominique Marie Patthanachardenphon is 051-289748 for Pharmacist in Illinois.
Dr. Dominique Marie Patthanachardenphon is 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Dominique Marie Patthanachardenphon speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Dominique Marie Patthanachardenphon |
| Specialization: | Pharmacist |
| Credentials: | PHARM.D. |
| Gender: | Female |
| Location: | 665 Seward Ave Nw Ste 320, Grand Rapids,
Michigan, 49504-5190 |
| Phone: | 616-267-7029 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Dominique Marie Patthanachardenphon are as mentioned below.
| NPI Number: | 1871618967 |
| NPI Enumeration Date: | 20 Mar, 2007 |
| NPI Last Update On: | 14 Jun, 2017 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dominique Marie Patthanachardenphon are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 051-289748 | Illinois | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 665 Seward Ave Nw # Suite 320,
Grand Rapids, Michigan |
| Zip: | 49504-5190 |
| Phone Number: | -- |
Patients can reach Dr. Dominique Marie Patthanachardenphon at
665 Seward Ave Nw Ste 320, Grand Rapids, Michigan or can
call on phone at 616-267-7029.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.