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Individual

DR. HEATHER R FOLKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2150 N ARIZONA AVE, CHANDLER, AZ 85225-3418
(480) 215-2879
Mailing address
11120 LOMAS BLVD NE, ALBUQUERQUE, NM 87112-5582
(505) 346-0193

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007737
NM
183500000X
Pharmacist
S018661
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP00007737
NM BOARD OF PHARMACY LICENSE
NM
01
S018661
PHARMACY LICENSE
AZ
Enumeration date
11/11/2011
Last updated
09/06/2012
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