Jacqueline Stacey Keegstra in Grand Rapids - Pharmacist
Jacqueline Stacey Keegstra - NPI 1356562854
Jacqueline Stacey Keegstra is a Pharmacist in Grand Rapids, Michigan. Jacqueline Stacey Keegstra practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jacqueline Stacey Keegstra is 1356562854. The last update date is 2007-07-08.
Jacqueline Stacey Keegstra's current location address is 1471 Grace Street, Grand Rapids, Michigan. You can contact this provider via phone number 6169132020. The mailing address for Jacqueline Stacey Keegstra is 1471 Grace Street, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Stacey Keegstra |
|---|---|
| Address | 1471 Grace Street, Grand Rapids, Michigan |
| Phone Number | 6169132020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1356562854 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1471 Grace Street |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49506 |
| Phone Number | 6169132020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302034165 |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacqueline Stacey Keegstra?
The Jacqueline Stacey Keegstra has been issued the NPI (National Provider Identifier) 1356562854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacqueline Stacey Keegstra's facilities are situated?
The facilities of Jacqueline Stacey Keegstra are physically located at the following address: 1471 Grace Street, Grand Rapids, MI, 49506.
What is Jacqueline Stacey Keegstra's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline Stacey Keegstra's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356562854 to Jacqueline Stacey Keegstra?
The Jacqueline Stacey Keegstra received its 1356562854 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date was the information regarding Jacqueline Stacey Keegstra, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacqueline Stacey Keegstra, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.