Individual
HEATHER AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 N ACADEMY AVE # 42-01, DANVILLE, PA 17822-9800
(570) 271-6672
Mailing address
530 BIRCH RD, SHAMOKIN, PA 17872-7605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452048
PA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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