| Dr Kevin Fantich, | |
|
26711 Northwestern Highway, Suite 400, Southfield, MI 48033-2154 | |
| (248) 948-9900 | |
| Not Available |
| Full Name | Dr Kevin Fantich |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 26711 Northwestern Highway, Southfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316113921 | NPI | - | NPPES |
| 5302035536 | Other | MI | MI CONTROLLED SUBSTANCE LICENSE |
| PS48603 | Other | FL | FL CONTROLLED SUBSTANCE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | PS48603 (Florida) | Secondary |
| 183500000X | Pharmacist | 5302035536 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Fantich, 26711 Northwestern Highway, Suite 400, Southfield, MI 48033-2154 Ph: () - | Dr Kevin Fantich, 26711 Northwestern Highway, Suite 400, Southfield, MI 48033-2154 Ph: (248) 948-9900 |
Marcy L Epstein, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Southfield, MI 48075 Phone: 248-849-3945 Fax: 248-849-8601 | |
Mr. Boby Abraham, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 23111 Lahser Road, Walgreens, Southfield, MI 48034 Phone: 248-945-9216 | |
Dina Issa, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 26026 W 12 Mile Rd # Oad, Southfield, MI 48034 Phone: 248-350-0280 | |
Dunia Zoma, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 30920 Southfield Rd, Southfield, MI 48076 Phone: 248-647-7472 | |
Mrs. Bonita Simcha Bohl, R PH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 21298 Melrose Avenue, Southfield, MI 48075 Phone: 248-827-3370 Fax: 248-827-3375 | |
Carl Ndangoh, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2 Towne Sq, Southfield, MI 48076 Phone: 313-208-7376 | |
Donna K Spencer, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 26776 W 12 Mile Rd Ste 108, Southfield, MI 48034 Phone: 248-356-9732 |