Healthcare Provider Details

I. General information

NPI: 1346675527
Provider Name (Legal Business Name): THERESSA MARIE HECHT R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 76TH ST NE
MARYSVILLE WA
98270-3726
US

IV. Provider business mailing address

4420 76TH ST NE
MARYSVILLE WA
98270-3726
US

V. Phone/Fax

Practice location:
  • Phone: 360-651-7410
  • Fax: 360-651-7415
Mailing address:
  • Phone: 360-651-7410
  • Fax: 360-651-7415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00017778
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: