MEDICARE: DR. HEATHER A LANKFORD 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
1	1835P1200X	Pharmacotherapy Pharmacist	0202206714	VA

General Provider Information

NPI Number	:	1376517680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER A LANKFORD PHARMD

Provider Business Mailing Address
First Line	:	837 SALTMEADOW BAY ARCH
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6279
Country	:	US
Telephone Number	:	757-961-9912
Fax Number	:

Provider Business Practice Location Address
First Line	:	837 SALTMEADOW BAY ARCH
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6279
Country	:	US
Telephone Number	:	757-961-9912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	07/08/2007

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