Individual
HEIDI AULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-3083
Mailing address
1305 PEARL BLVD, MONTOURSVILLE, PA 17754-1231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202209042
VA
183500000X
Pharmacist
Primary
RP441960
PA
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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