Healthcare Provider Details

I. General information

NPI: 1124672175
Provider Name (Legal Business Name): HEATHER LYNNE LUFFEY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 PAOLI PIKE
WEST CHESTER PA
19380-4527
US

IV. Provider business mailing address

927 PAOLI PIKE
WEST CHESTER PA
19380-4527
US

V. Phone/Fax

Practice location:
  • Phone: 610-696-0818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP036590L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: