Individual
HEATHER HINES TRUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1210 MOHAWK BLVD, SPRINGFIELD, OR 97477-3349
(541) 747-3841
Mailing address
5807 MAIN ST, SPRINGFIELD, OR 97478-6961
(541) 726-8423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013788
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0013788
OR
Other
Enumeration date
09/16/2013
Last updated
08/07/2016
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