Individual provider · Type 1 NPI

Kenneth Wayne Vis, RPH

Pharmacist · Grand Haven, MI

NPI number 1154402196 Active

Practice location

1125 Washington Ave
Grand Haven, MI 49417-1625

Call (616) 842-4360 Map

Fax (616) 842-9590

Mailing address

13670 Cleveland Ave
Nunica, MI 49448-9661

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302411182 (MI)

Pharmacist: 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…

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About NPI 1154402196

Kenneth Wayne Vis, RPH's National Provider Identifier is 1154402196, issued on Oct 18, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Haven, MI. The record was last updated on Jul 8, 2007.