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Mrs. Kelly Wagenheim
Pharmacist in Big Rapids, Michigan
NPI 1831540665

Kelly Wagenheim is a Pharmacist based in Big Rapids, MI. Kelly Wagenheim practices in Big Rapids, MI. The NPI Number for Kelly Wagenheim is 1831540665 and holds a License No. 5302411047 (Michigan).

The current practice location address for Kelly Wagenheim is 21400 Perry Ave, Big Rapids, MI and can be reached out via phone at 231-796-3691 and via fax at 231-796-8722.

Location: 21400 Perry Ave, Big Rapids, MI, 49307-9262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831540665
Provider Name
Kelly Wagenheim
Credential
Provider Entity Type
Individual
Gender
Female
Address
21400 Perry Ave, Big Rapids, MI, 49307-9262
Phone Number
231-796-3691
Fax Number
231-796-8722
Provider Enumeration Date
06/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21400 Perry Ave
City
Big Rapids
State
Michigan
Zip
49307-9262
Phone Number
231-796-3691
Fax Number
231-796-8722
person
Provider Business Mailing Address Details
Address
21400 Perry Ave
City
Big Rapids
State
Michigan
Zip
49307-9262
Phone Number
231-796-3691
Fax Number
231-796-8722
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302411047 (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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