Individual
MRS. HEIDI LEANNE HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1901 S UNION AVE, TACOMA, WA 98405-1702
(253) 459-6744
Mailing address
19311 110TH AVENUE CT E, GRAHAM, WA 98338-7757
(253) 875-4696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00040128
WA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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