Individual provider · Type 1 NPI

Kelly Wagenheim

Pharmacist · Big Rapids, MI

NPI number 1831540665 Active

Practice location

21400 Perry Ave
Big Rapids, MI 49307-9262

Call (231) 796-3691 Map

Fax (231) 796-8722

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302411047 (MI)
Pharmacist 183500000XPS 34800 (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…

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About NPI 1831540665

Kelly Wagenheim's National Provider Identifier is 1831540665, issued on Jun 22, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Big Rapids, MI. The record was last updated on Jun 22, 2016.