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Kevin Michael Deridder, PHARMD
Pharmacist in Grand Rapids, Michigan
NPI 1417236514

Kevin Michael Deridder is a Pharmacist based in Rockford, MI. Kevin Michael Deridder practices in Grand Rapids, MI and has the professional credentials of PHARMD. The NPI Number for Kevin Michael Deridder is 1417236514 and holds a License No. 5302038129 (Michigan).

The current practice location address for Kevin Michael Deridder is 5859 28Th St Se, Grand Rapids, MI and can be reached out via phone at 616-949-9892.

Location: 5859 28Th St Se, Grand Rapids, MI, 49341-9611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417236514
Provider Name
Kevin Michael Deridder
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
5859 28Th St Se, Grand Rapids, MI, 49341-9611
Phone Number
616-949-9892
Fax Number
Provider Enumeration Date
08/08/2011
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
5859 28Th St Se
City
Grand Rapids
State
Michigan
Zip
49546-6905
Phone Number
616-949-9892
Fax Number
person
Provider Business Mailing Address Details
Address
5859 28Th St Se
City
Grand Rapids
State
Michigan
Zip
49546-6905
Phone Number
616-949-9892
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302038129 (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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