Individual
AMY HEYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
156 S MAIN ST, BRIGHAM CITY, UT 84302-2529
(435) 734-2027
Mailing address
156 S MAIN ST, BRIGHAM CITY, UT 84302-2529
(435) 734-2027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7650589-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7650589-1701
DOPL
UT
Enumeration date
09/30/2019
Last updated
09/30/2019
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