DYLAN R DETLOR PHARMD
NPI 1912613514
Pharmacist in Bolivar, MO

Active since January 26, 2023
2451 S SPRINGFIELD AVE, BOLIVAR, MO 65613(417) 326-5225 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan R Detlor Pharmd NPPES

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

DYLAN R DETLOR PHARMD (NPI 1912613514) is an individual pharmacist in Bolivar, Missouri, licensed in Missouri (2020018332) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1912613514
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDYLAN R DETLORCredential: PHARMD
Location Address2451 S SPRINGFIELD AVEBolivar, MO 65613-9123
Mailing Address2451 S Springfield AveBolivar, MO 65613-9123 · (417) 326-5225
Sole ProprietorNo
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
NPI 1912613514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2020018332
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.
2451 S SPRINGFIELD AVE, Bolivar, MO 65613

Other Providers at the Same Location NPPES 9

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

Pharmacy Technician
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Eyewear Supplier
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Pharmacy Technician
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Pharmacy Technician
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Optometrist
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Pharmacist
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Pharmacy (Community/Retail Pharmacy)
2451 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Optometrist
2451 S SPRINGFIELD AVE, WAL-MART VISION CENTER #0046
BOLIRAR, MO 65613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Detlor's NPI number?

The NPI number for Dylan Detlor is 1912613514. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Dylan Detlor located?

Dylan Detlor practices at 2451 S Springfield Ave, Bolivar, MO 65613. The listed phone number is (417) 326-5225.

What is Dylan Detlor's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Dylan Detlor was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.