Heidi A Davidson RPH

NPI 1063691558 - Pharmacist - 183500000X

NPI Details
NPI 1063691558
Gender Female
Enumeration Date 10/31/2007
Last Updated 10/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1105 SIXTH ST
TRAVERSE CITY MI, 49684-2345, US
Phone (231) 935-6581
Fax
Business Location
769 CLYDE LEE DR
TRAVERSE CITY MI, 49686-8680, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Michigan
License Number 5302030251
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According to our database, Heidi A Davidson RPH NPI is 1063691558, taxonomy code is 183500000X and license number is 5302030251, license state is located at Michigan. Heidi A Davidson RPH physically located at 1105 Sixth St, Traverse City MI, 49684-2345. NPI Number Heidi A Davidson RPH has the Individual type.

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1063691558 NPI number is provided on an as is basis without warranty of any kind. 1063691558 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi A Davidson RPH are for informational purposes only.