Individual
DR. HEATHER KELLY HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1651 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2990
(205) 507-8115
(205) 507-8101
Mailing address
1651 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2990
(205) 507-8115
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
14946
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14946
PHARMACY LICENSE
AL
Enumeration date
10/26/2006
Last updated
03/21/2017
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