| Mrs Kelly Wagenheim, | |
|
21400 Perry Ave, Big Rapids, MI 49307-9262 | |
| (231) 796-3691 | |
| (231) 796-8722 |
| Full Name | Mrs Kelly Wagenheim |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 21400 Perry Ave, Big Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831540665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 5302411047 (Michigan) | Primary |
| 183500000X | Pharmacist | PS 34800 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Wagenheim, 21400 Perry Ave, Big Rapids, MI 49307-9262 Ph: (231) 796-3691 | Mrs Kelly Wagenheim, 21400 Perry Ave, Big Rapids, MI 49307-9262 Ph: (231) 796-3691 |
Mr. Douglas A. Hancock, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650 Linden St Ste 1, Big Rapids, MI 49307 Phone: 231-796-3200 | |
Mr. Gregory John Videtich, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1010 S State St, Big Rapids, MI 49307 Phone: 231-592-0385 Fax: 231-592-9749 | |
Dr. Mark Albert Young, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 220 Ferris Dr, Big Rapids, MI 49307 Phone: 231-591-2248 | |
Kyle Joseph Ficht, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15400 Waldron Way, Big Rapids, MI 49307 Phone: 231-527-0210 | |
Dr. Jennifer Dawn Horton, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1250 Perry Ave, Big Rapids, MI 49307 Phone: 231-796-5252 | |
Mrs. Dawn Renee Pullen, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1010 S State St, Big Rapids, MI 49307 Phone: 231-592-0385 Fax: 231-592-9749 | |
Mrs. Bonita Jacque, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1250 Perry Ave, Big Rapids, MI 49307 Phone: 231-796-5252 |