MEDICARE: HEATHER A PACE PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2005021393	MO

General Provider Information

NPI Number	:	1194990564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER A PACE PHARM D

Provider Business Mailing Address
First Line	:	2464 CHARLOTTE ST
Second Line	:	#1227
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2718
Country	:	US
Telephone Number	:	816-235-5490
Fax Number	:

Provider Business Practice Location Address
First Line	:	2464 CHARLOTTE ST
Second Line	:	#1227
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2718
Country	:	US
Telephone Number	:	816-235-5490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	03/13/2014

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Directions to “ HEATHER A PACE PHARM D” Practice Location

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