Individual provider · Type 1 NPI
Keith Freal Van Heise, PHARM D
Pharmacist · Avondale, AZ
Practice location
12906 W Wilshire Dr
Avondale, AZ 85323-7134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 13731 (AZ) |
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 1508995994
Keith Freal Van Heise, PHARM D's National Provider Identifier is 1508995994, issued on Mar 3, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Avondale, AZ. The record was last updated on Jul 8, 2007.