Tracy S Heaton R.PH,

NPI 1013185875 - Pharmacist - 183500000X

NPI Details
NPI 1013185875
Gender Male
Enumeration Date 02/14/2008
Last Updated 09/12/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1656 CHAMPLIN AVE
UTICA NY, 13502-4830, US
Phone (315) 624-6010
Fax
Business Location
36 COUNTRY CLUB DR
NEW YORK MILLS NY, 13417-1456, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 038686
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According to our database, Mr. Tracy S Heaton R.PH, NPI is 1013185875, taxonomy code is 183500000X and license number is 038686, license state is located at New York. Tracy S Heaton R.PH, physically located at 1656 Champlin Ave, Utica NY, 13502-4830. NPI Number Tracy S Heaton R.PH, has the Individual type.

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1013185875 NPI number is provided on an as is basis without warranty of any kind. 1013185875 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy S Heaton R.PH, are for informational purposes only.