Individual
DR. ERIC HEADLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1648 E IDAHO AVE, ONTARIO, OR 97914-3008
(541) 889-6315
(541) 889-6325
Mailing address
2770 N CHRISTINE ST, BOISE, ID 83704-5611
(208) 559-7770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011224
OR
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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