Individual
HEAVEN LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
16117 MCMULLEN HWY SW, CUMBERLAND, MD 21502-6207
(301) 729-2600
(301) 729-1982
Mailing address
PO BOX 307, RAWLINGS, MD 21557-0307
(240) 609-9696
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T23270
MD
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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