Individual
ROGER G HEFFLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10500 OVERLAND RD, BOISE, ID 83709-1435
(208) 376-1382
Mailing address
10500 OVERLAND RD, BOISE, ID 83709-1435
(208) 376-1382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP4645
ID
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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