Individual
HEATHER MARIE KREUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
Mailing address
2613 SE 10TH ST, MOORE, OK 73160-0711
(623) 326-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016150
AZ
1835G0303X
Geriatric Pharmacist
016150
AZ
1835N1003X
Nutrition Support Pharmacist
016150
AZ
1835P1200X
Pharmacotherapy Pharmacist
016150
AZ
1835P1300X
Psychiatric Pharmacist
016150
AZ
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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