Individual
HEIDI VAN BROCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1850 W PINHOOK RD, LAFAYETTE, LA 70508-3720
(337) 267-4614
(337) 267-9172
Mailing address
1850 W PINHOOK RD, LAFAYETTE, LA 70508-3720
(337) 267-4614
(337) 267-9172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17264
LA
Other
Enumeration date
08/16/2010
Last updated
01/06/2023
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