Jacqueline Heineman, PHARM. D
NPI #1376898742 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1376898742
- Entity Type
- Individual
- Name
- Jacqueline Heineman, PHARM. D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM. D
- Enumeration Date
- Jul 20, 2012
- Last Updated
- Dec 29, 2016
Practice Location
- Address
- 2003 KOOTENAI HEALTHY WAY PHARMACY
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 765-9586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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