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NPI Code Detail

MEDICARE: MRS. HEATHER COURNOYER PHARMD

MEDICARE:  MRS. HEATHER  COURNOYER  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
1183500000XPharmacistPH234272MA

General Provider Information

NPI Number : 1467703116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER COURNOYER PHARMD
Provider Business Mailing Address
First Line : 67 JEWETT ST
Second Line : #2
City : NEWTON
State : MA
Zip : 02458-1512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 99 HARVARD ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-6403
Country : US
Telephone Number : 617-731-4536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2012
Last Update Date : 09/20/2012

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Directions to “ MRS. HEATHER COURNOYER PHARMD” Practice Location

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