Heidi Ann Glen in Lebanon - Pharmacist

Heidi Ann Glen - NPI 1053531590

Heidi Ann Glen is a Pharmacist in Lebanon, Oregon. Heidi Ann Glen practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Heidi Ann Glen is 1053531590. The last update date is 2007-07-08.

Heidi Ann Glen's current location address is 525 N Santiam Hwy, Lebanon, Oregon. You can contact this provider via phone number 5414517565. The mailing address for Heidi Ann Glen is 525 N Santiam Hwy, Lebanon, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Heidi Ann Glen
Address 525 N Santiam Hwy, Lebanon, Oregon
Phone Number 5414517565
Fax Number
Sole Proprietor N
Credentials PHARM.D.

NPI Number Detail

NPI Number 1053531590
Provider Enumeration Date 2007-04-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 525 N Santiam Hwy
City Lebanon
State Oregon (OR)
Post Code 973554363
Phone Number 5414517565
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No RPH-0010972
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Heidi Ann Glen

What is the Heidi Ann Glen's unique identification number?

The Heidi Ann Glen has been assigned the NPI (National Provider Identifier) Number 1053531590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Heidi Ann Glen's facilities are situated?

The facilities of Heidi Ann Glen are physically located at the following address: 525 N Santiam Hwy, Lebanon, OR, 973554363.

What is Heidi Ann Glen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Heidi Ann Glen's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053531590 to Heidi Ann Glen?

The Centers for Medicare & Medicaid Services originally issued the 1053531590 to Heidi Ann Glen on 2007-04-26.

As of what date were the details related to Heidi Ann Glen most recently updated or revised?

The information pertaining to Heidi Ann Glen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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