Individual
MS. HEIDI DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
1210 MONTGOMERY AVE, NARBERTH, PA 19072-1718
(215) 816-5463
Mailing address
1210 MONTGOMERY AVE, NARBERTH, PA 19072-1718
(215) 816-5463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP042417L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP042417L
PHARMACIST LICENSE
PA
Enumeration date
03/29/2016
Last updated
03/29/2016
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