Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH FREAL VAN HEISE, PHARM D
Active Sole ProprietorKEITH FREAL VAN HEISE, PHARM D is a Pharmacist healthcare provider located in AVONDALE, Arizona. NPI 1508995994 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · AVONDALE, AZ
Registration Details
- NPI Number
- 1508995994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2007 (19.409657492406 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13731 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12906 W WILSHIRE DRAVONDALE, AZ, 853237134Browse AZ providers · Browse ZIP 85323
- Phone
- 6027406984
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in AVONDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN PHAN | RPH | 1427064419 |
| MR. ED FOLTZ | PHARMD | 1578670238 |
| LAMECK NYAKWEBA | RPH | 1609002948 |
| DR. LAURIE H LEE | PHARMD | 1619100815 |
| JAMES ALAN TALMADGE | RPH | 1194050443 |
| KAREN ANNE WOLFSON | PHARM.D. | 1114252202 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.