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NPI Code Detail

MEDICARE: DR. WILLIAM ROBERT HEATH II PHARMD

MEDICARE: DR. WILLIAM ROBERT HEATH II PHARMD
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
1183500000XPharmacistS020031AZ

General Provider Information

NPI Number : 1427481399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM ROBERT HEATH II PHARMD
Provider Business Mailing Address
First Line : 4361 E SAMANTHA DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-5476
Country : US
Telephone Number : 520-229-7680
Fax Number :
Provider Business Practice Location Address
First Line : 2929 W VALENCIA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85746-8036
Country : US
Telephone Number : 520-578-0138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 08/15/2013

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