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NPI Code Detail

MEDICARE: MRS. HEIDI B HYMEL DOCTOR OF PHARMACY

MEDICARE: MRS. HEIDI B HYMEL DOCTOR OF PHARMACY
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
1183500000XPharmacist018903LA

General Provider Information

NPI Number : 1649552787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI B HYMEL DOCTOR OF PHARMACY
Provider Business Mailing Address
First Line : PO BOX 269
Second Line :
City : LIVINGSTON
State : LA
Zip : 70754-0269
Country : US
Telephone Number : 504-343-1097
Fax Number : 985-893-4503
Provider Business Practice Location Address
First Line : 2101 COLLINS BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-5673
Country : US
Telephone Number : 985-893-3296
Fax Number : 985-893-4503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 09/14/2011

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Directions to “ MRS. HEIDI B HYMEL DOCTOR OF PHARMACY” Practice Location

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