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Individual

HEATHER NIECKARZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
650 Q ST, SPRINGFIELD, OR 97477
(541) 741-5183
(541) 741-5180
Mailing address
650 Q ST, SPRINGFIELD, OR 97477-2353
(541) 741-5183
(541) 741-5180

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0009894
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0009894
OR

Other

Enumeration date
03/06/2012
Last updated
08/31/2018
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