CARL HENDRICKS
NPI 1174651442
Pharmacist in Walled Lake, MI

Active since March 01, 2007
620 N PONTIAC TRL, WALLED LAKE, MI 48390(248) 669-2776(248) 669-2835 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carl Hendricks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL HENDRICKS (NPI 1174651442) is an individual pharmacist in Walled Lake, Michigan, licensed in Michigan (5302026119) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174651442
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCARL HENDRICKS
Location Address620 N PONTIAC TRLWalled Lake, MI 48390-3443
Mailing Address753 GleneaglesHighland, MI 48357-4778
Fax(248) 669-2835
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1174651442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302026119
Definition

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.

620 N PONTIAC TRL, Walled Lake, MI 48390

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Podiatrist (Foot & Ankle Surgery)
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Podiatrist (Foot & Ankle Surgery)
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacy Technician
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacy Technician
620 N PONTIAC TRL, PONTIAC TRAIL PHARMACY
WALLED LAKE, MI 48390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174651442, enumerated as an "individual" on March 01, 2007.

The provider is located at 620 N PONTIAC TRL WALLED LAKE, MI 48390 and the phone number is (248) 669-2776.

Pharmacist with taxonomy code 183500000X.