MEDICARE: HEATHER HURD 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	183500000X	Pharmacist	4946506-1701	UT

General Provider Information

NPI Number	:	1891077525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER HURD PHARMD

Provider Business Mailing Address
First Line	:	10429 S REDWOOD RD
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-8502
Country	:	US
Telephone Number	:	801-446-0996
Fax Number	:

Provider Business Practice Location Address
First Line	:	10429 S REDWOOD RD
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-8502
Country	:	US
Telephone Number	:	801-446-0996
Fax Number	:

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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Directions to “ HEATHER HURD PHARMD” Practice Location

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