Dylan R Detlor, PHARMD

NPI #1912613514 in Bolivar, Missouri

Provider Information

NPI Number: 1912613514
Entity Type: Individual
Name: Dylan R Detlor, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 26, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 2451 S SPRINGFIELD AVE
City: Bolivar
State: Missouri
ZIP Code: 65613-9123
Phone: (417) 326-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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