Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Warren Vandahm, PHARMD

Individual provider Pharmacist · NPI 1346871027

Jack Warren Vandahm, PHARMD is a Pharmacist in Clawson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1402 W 14 Mile Rd
Clawson, MI 48017-1499
Phone: (248) 435-7314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302042373 (MI)

Record details

NPI number1346871027
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

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