Individual
DR. GARRETT L HEITMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-4696
Mailing address
2200 BERGQUIST DR, PHARMACY, LACKLAND A F B, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5051
SD
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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