Healthcare Provider Details

I. General information

NPI: 1689097719
Provider Name (Legal Business Name): HEATHER A LOUDON-HOWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER A LOUDON PHARMD

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 THREE SPRINGS BLVD PHARMACY DEPARTMENT
DURANGO CO
81301-8296
US

IV. Provider business mailing address

1010 THREE SPRINGS BLVD PHARMACY DEPARTMENT
DURANGO CO
81301-8296
US

V. Phone/Fax

Practice location:
  • Phone: 970-764-2300
  • Fax: 970-764-2324
Mailing address:
  • Phone: 970-764-2300
  • Fax: 970-764-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6505
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17086
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: