Keith Freal Van Heise in Avondale - Pharmacist
Keith Freal Van Heise - NPI 1508995994
Keith Freal Van Heise is a Pharmacist in Avondale, Arizona. Keith Freal Van Heise practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Keith Freal Van Heise is 1508995994. The last update date is 2007-07-08.
Keith Freal Van Heise's current location address is 12906 W Wilshire Dr, Avondale, Arizona. You can contact this provider via phone number 6027406984. The mailing address for Keith Freal Van Heise is 12906 W Wilshire Dr, Avondale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Freal Van Heise |
|---|---|
| Address | 12906 W Wilshire Dr, Avondale, Arizona |
| Phone Number | 6027406984 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1508995994 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12906 W Wilshire Dr |
|---|---|
| City | Avondale |
| State | Arizona (AZ) |
| Post Code | 853237134 |
| Phone Number | 6027406984 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 13731 |
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Definition: 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 m |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Keith Freal Van Heise by the Centers for Medicare & Medicaid Services?
The Keith Freal Van Heise has been assigned the NPI (National Provider Identifier) 1508995994 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Keith Freal Van Heise's facilities are geographically located?
The facilities of Keith Freal Van Heise are physically situated at the following location: 12906 W Wilshire Dr, Avondale, AZ, 853237134.
What is the Keith Freal Van Heise's specialty and taxonomy code?
The Keith Freal Van Heise's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
When did Keith Freal Van Heise receive its 1508995994 assignment?
The Keith Freal Van Heise was assigned its 1508995994 on 2007-03-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Keith Freal Van Heise most recently updated?
The details pertaining to the Keith Freal Van Heise, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.