-- JACQUELINE HEINEMAN -- PHARM. D
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1376898742- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PHARM. D
- Status
- Active
Contact & Location
- Address
- 2003 KOOTENAI HEALTHY WAY PHARMACY, COEUR D'ALENE, ID, 83814
- Phone
- (208) 765-9586
Specialties & Taxonomies
Pharmacist
Primary License: ID #P6454
Pharmacist
License: WA #PH60191857
Pharmacist
License: MT #6281
All Addresses
MAILING
2003 KOOTENAI HEALTHY WAY- PHARMACY
COEUR D ALENE, ID, 83814