Individual
HEATHER R WOLCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16700 N MARKETPLACE BLVD, NAMPA, ID 83687-7909
(208) 465-3809
Mailing address
16700 N MARKETPLACE BLVD, NAMPA, ID 83687-7909
(208) 465-3809
(208) 465-3806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051295549
IL
183500000X
Pharmacist
Primary
P5784
ID
183500000X
Pharmacist
PH00052420
WA
183500000X
Pharmacist
R2557
NH
183500000X
Pharmacist
RPH0017329
OR
Other
Enumeration date
04/23/2011
Last updated
12/09/2024
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