Individual
DR. MARSHALL HEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3755 AIRPORT WAY, FAIRBANKS, AK 99709
(907) 474-1433
Mailing address
3755 AIRPORT WAY, FAIRBANKS, AK 99709
(907) 474-1433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1769
AK
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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