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NPI Code Detail

MEDICARE: MRS. HEATHER THOMPSON RPH

MEDICARE: MRS. HEATHER THOMPSON 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
1183500000XPharmacistRP043946LPA
2183500000XPharmacistPS56101FL

General Provider Information

NPI Number : 1871196998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER THOMPSON RPH
Provider Business Mailing Address
First Line : 1334 CALYPSO WAY
Second Line :
City : OVIEDO
State : FL
Zip : 32765-3718
Country : US
Telephone Number : 610-850-3673
Fax Number :
Provider Business Practice Location Address
First Line : 820 OVIEDO MALL BLVD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-9348
Country : US
Telephone Number : 407-366-5907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ MRS. HEATHER THOMPSON RPH” Practice Location

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