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NPI Code Detail

MEDICARE: DR. HEATHER PUTNAM PHARMD

MEDICARE: DR. HEATHER PUTNAM 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
1183500000XPharmacist0202214136VA

General Provider Information

NPI Number : 1467836338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER PUTNAM PHARMD
Provider Business Mailing Address
First Line : 112 BROWNS WAY RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23114-9507
Country : US
Telephone Number : 804-897-0977
Fax Number :
Provider Business Practice Location Address
First Line : 112 BROWNS WAY RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23114-9507
Country : US
Telephone Number : 804-897-0977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2015
Last Update Date : 07/10/2015

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Directions to “ DR. HEATHER PUTNAM PHARMD” Practice Location

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