Individual
DR. ALEXANDRA LOUISE HEYNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
407 E CHUBBUCK RD, CHUBBUCK, ID 83202
(208) 913-2273
(208) 567-5615
Mailing address
PO BOX 2851, POCATELLO, ID 83206-2851
(208) 913-2273
(208) 567-5615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10180
ID
Other
Enumeration date
08/10/2022
Last updated
05/09/2024
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