MEDICARE: HEATHER DOWNS RPH

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	183500000X	Pharmacist	PH238230	MA

General Provider Information

NPI Number	:	1679459523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DOWNS RPH

Provider Business Mailing Address
First Line	:	107 RIDGE LN APT 205
Second Line	:
City	:	WALTHAM
State	:	MA
Zip	:	02452-4885
Country	:	US
Telephone Number	:	315-327-8539
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 WALNUT ST
Second Line	:
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-1927
Country	:	US
Telephone Number	:	857-297-4455
Fax Number	:

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

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/14/2025

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