Jack Warren Vandahm, PHARMD

NPI #1346871027 in Clawson, Michigan

Provider Information

NPI Number: 1346871027
Entity Type: Individual
Name: Jack Warren Vandahm, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 30, 2020
Last Updated: Jan 31, 2020

Practice Location

Address: 1402 W 14 MILE RD
City: Clawson
State: Michigan
ZIP Code: 48017-1499
Phone: (248) 435-7314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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