Individual provider · Type 1 NPI

Kimalyn Sue Averill, RPH

Pharmacist · Grandville, MI

NPI number 1376823005 Active

Practice location

3191 28th St SW
Grandville, MI 49418-1110

Call (616) 534-5533 Map

Fax (616) 534-2205

Mailing address

2281 Bridle Creek St SE
Kentwood, MI 49508-0957

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302030463 (MI)
Pharmacist 183500000XPS42372 (FL)

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…

2 other providers at this address

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About NPI 1376823005

Kimalyn Sue Averill, RPH's National Provider Identifier is 1376823005, issued on Aug 25, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grandville, MI. The record was last updated on Aug 25, 2011.