Individual
MRS. HEATHER CHRISTINE MAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
20 INDUSTRIAL DR, DU BOIS, PA 15801-3842
(814) 375-5005
(814) 375-5007
Mailing address
927 HICKORY RD, SAINT MARYS, PA 15857-3024
(814) 591-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP414698L
PA
183500000X
Pharmacist
Primary
RP044107L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP044107L
STATE BOARD OF PHARMACY
PA
Enumeration date
01/22/2020
Last updated
01/22/2020
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