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Keith Wayne Herold
Pharmacist in Green Bay, Wisconsin
NPI 1265031595

Keith Wayne Herold is a Pharmacist based in Green Bay, WI. Keith Wayne Herold practices in Green Bay, WI. The NPI Number for Keith Wayne Herold is 1265031595 and holds a License No. 12269-040 (Wisconsin).

The current practice location address for Keith Wayne Herold is 2440 W Mason St, Green Bay, WI and can be reached out via phone at 920-499-2330 and via fax at 920-499-1136.

Location: 2440 W Mason St, Green Bay, WI, 54313-4366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265031595
Provider Name
Keith Wayne Herold
Credential
Provider Entity Type
Individual
Gender
Male
Address
2440 W Mason St, Green Bay, WI, 54313-4366
Phone Number
920-499-2330
Fax Number
920-499-1136
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2440 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4711
Phone Number
920-499-2330
Fax Number
920-499-1136
person
Provider Business Mailing Address Details
Address
2440 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4711
Phone Number
920-499-2330
Fax Number
920-499-1136
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
12269-040 (Wisconsin)
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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