Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912613514 Individual Practitioner Male Practitioner

Dr. Dylan R Detlor , PharmD

Pharmacist • Bolivar, MO

Professional Overview & Biography Verified Profile Summary

Dr. Dylan Detlor, PharmD is a registered healthcare professional specializing in Pharmacist in Bolivar, MO. Practice services are available at 2451 S SPRINGFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2451 S Springfield Ave

Bolivar, MO 656139123

Telephone 4173265225
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1881611200

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bolivar, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Bolivar, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2020018332

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rachel Clark , CPHT

Pharmacy Technician

NPI 1326630047

Certified Pharmacy Technician

Sarah Rotramel , CPHT

Pharmacy Technician

NPI 1396337077

Certified Pharmacy Technician

Steven Coleman

Pharmacist

NPI 1558838466

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2023

Registered at 2451 S SPRINGFIELD AVE, BOLIVAR, MO 656139123 (Tel: 4173265225)

📍
Updated Business Mailing Address January 26, 2023

Registered at 2451 S SPRINGFIELD AVE, BOLIVAR, MO 656139123 (Tel: 4173265225)

👤
Provider Name / Credentials Updated January 26, 2023

Recorded as DYLAN DETLOR, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2023

Pharmacist (License #2020018332 in MO)

🟢
Initial NPI Registration & Enumeration January 26, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912613514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2023
Last Update: January 26, 2023
Sole Proprietor: No

Mailing Address

2451 S Springfield Ave

Bolivar, MO 656139123

Phone: 4173265225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.