Healthcare Provider Details

I. General information

NPI: 1710424726
Provider Name (Legal Business Name): HEATHER HARGRAVE DOBIE RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2017
Last Update Date: 01/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 W MARTIN ST MS 36-2
SAN ANTONIO TX
78207-0903
US

IV. Provider business mailing address

903 W MARTIN ST MS 36-2
SAN ANTONIO TX
78207-0903
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-9666
  • Fax:
Mailing address:
  • Phone: 210-358-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number37555
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: