Healthcare Provider Details

I. General information

NPI: 1174442784
Provider Name (Legal Business Name): DEKKER PHARMACY HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GOODLETTE-FRANK RD N STE 108
NAPLES FL
34102-5662
US

IV. Provider business mailing address

4736 WEST BLVD
NAPLES FL
34103-3051
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-0050
  • Fax:
Mailing address:
  • Phone: 616-723-7833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER JOEL DEKKER
Title or Position: MANAGER
Credential:
Phone: 616-723-7833