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NPI Code Detail

MEDICARE: DR. HEATHER PHIPPS PHARMD

MEDICARE: DR. HEATHER PHIPPS 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
1183500000XPharmacist5302033006MI

General Provider Information

NPI Number : 1710263413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER PHIPPS PHARMD
Provider Business Mailing Address
First Line : 571 S MAIN ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-2466
Country : US
Telephone Number : 810-538-0014
Fax Number : 810-538-0020
Provider Business Practice Location Address
First Line : 571 S MAIN ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-2466
Country : US
Telephone Number : 810-538-0014
Fax Number : 810-538-0020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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Directions to “ DR. HEATHER PHIPPS PHARMD” Practice Location

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