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Kelly Jo Thiede, RPH
Pharmacist in Portage, Michigan
NPI 1255682746

Kelly Jo Thiede is a Pharmacist based in Portage, MI. Kelly Jo Thiede practices in Portage, MI and has the professional credentials of RPH. The NPI Number for Kelly Jo Thiede is 1255682746 and holds a License No. 5302411010 (Michigan).

The current practice location address for Kelly Jo Thiede is 6330 S Westnedge Ave, Portage, MI and can be reached out via phone at 269-327-4508 and via fax at 269-327-6740.

Location: 6330 S Westnedge Ave, Portage, MI, 49002-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255682746
Provider Name
Kelly Jo Thiede
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
6330 S Westnedge Ave, Portage, MI, 49002-3572
Phone Number
269-327-4508
Fax Number
269-327-6740
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6330 S Westnedge Ave
City
Portage
State
Michigan
Zip
49002-3572
Phone Number
269-327-4508
Fax Number
269-327-6740
person
Provider Business Mailing Address Details
Address
6330 S Westnedge Ave
City
Portage
State
Michigan
Zip
49002-3572
Phone Number
269-327-4508
Fax Number
269-327-6740
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302411010 (Michigan)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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