MEDICARE: DR. HEATHER ANNE MULVIHILL 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	34835	TX

General Provider Information

NPI Number	:	1871127654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER ANNE MULVIHILL PHARMD

Provider Business Mailing Address
First Line	:	4752 RESEARCH DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-5002
Country	:	US
Telephone Number	:	210-877-6180
Fax Number	:	210-877-6202

Provider Business Practice Location Address
First Line	:	4752 RESEARCH DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-5002
Country	:	US
Telephone Number	:	210-877-6180
Fax Number	:	210-877-6202

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

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/02/2020

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