DR. Jeanna C. Heidel, PHARMD

NPI #1093758229 in Rusk, Texas

Provider Information

NPI Number: 1093758229
Entity Type: Individual
Name: DR. Jeanna C. Heidel, PHARMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jun 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1601 N DICKINSON
Address 2: PHARMACY
City: Rusk
State: Texas
ZIP Code: 75785
Phone: (903) 683-7174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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