Kenneth Wayne Vis RPH

NPI 1154402196 - Pharmacist - 183500000X

NPI Details
NPI 1154402196
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1125 WASHINGTON AVE
GRAND HAVEN MI, 49417-1625, US
Phone (616) 842-4360
Fax (616) 842-9590
Business Location
13670 CLEVELAND AVE
NUNICA MI, 49448-9661, US
Phone (616) 842-3754
Fax
Toxanomy
Taxonomy Code 183500000X
License State Michigan
License Number 5302411182
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According to our database, Mr. Kenneth Wayne Vis RPH NPI is 1154402196, taxonomy code is 183500000X and license number is 5302411182, license state is located at Michigan. Kenneth Wayne Vis RPH physically located at 1125 Washington Ave, Grand Haven MI, 49417-1625. NPI Number Kenneth Wayne Vis RPH has the Individual type.

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1154402196 NPI number is provided on an as is basis without warranty of any kind. 1154402196 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Wayne Vis RPH are for informational purposes only.