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Keith Freal Van Heise, PHARMD
Pharmacist in Avondale, Arizona
NPI 1508995994

Keith Freal Van Heise is a Pharmacist based in Avondale, AZ. Keith Freal Van Heise practices in Avondale, AZ and has the professional credentials of PHARMD. The NPI Number for Keith Freal Van Heise is 1508995994 and holds a License No. 13731 (Arizona).

The current practice location address for Keith Freal Van Heise is 12906 W Wilshire Dr, Avondale, AZ and can be reached out via phone at 602-740-6984. You can also correspond with Keith Freal Van Heise through the mailing address at 12906 W WILSHIRE DR, AVONDALE, AZ - 85323-7134 (mailing address contact number: 602-740-6984).

Location: 12906 W Wilshire Dr, Avondale, AZ, 85323-7134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508995994
Provider Name
Keith Freal Van Heise
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
12906 W Wilshire Dr, Avondale, AZ, 85323-7134
Phone Number
602-740-6984
Fax Number
Provider Enumeration Date
03/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12906 W Wilshire Dr
City
Avondale
State
Arizona
Zip
85323-7134
Phone Number
602-740-6984
Fax Number
person
Provider Business Mailing Address Details
Address
12906 W Wilshire Dr
City
Avondale
State
Arizona
Zip
85323-7134
Phone Number
602-740-6984
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
13731 (Arizona)
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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