Individual
ANDREW KELLY HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
618 S MERIDIAN, PUYALLUP, WA 98371-5999
(253) 848-2011
(253) 848-3119
Mailing address
618 S MERIDIAN, PUYALLUP, WA 98371-5999
(253) 848-2011
(253) 848-3119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60405978
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH60405978
WA
1835P1200X
Pharmacotherapy Pharmacist
PH60405978
WA
1835P2201X
Ambulatory Care Pharmacist
PH60405978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113322
—
WA
Enumeration date
08/21/2010
Last updated
01/18/2026
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