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Individual

MR. KIRK FOSTER HEINZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
104 MASHELL AVE N, EATONVILLE, WA 98328-8936
(360) 832-3121
(360) 832-4520
Mailing address
P.O. BOX 99, EATONVILLE, WA 98328
(360) 832-3121

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00013654
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00013654
WA
1835P1200X
Pharmacotherapy Pharmacist
PH00013654
WA
1835P2201X
Ambulatory Care Pharmacist
PH00013654
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2135726
WA
Enumeration date
08/16/2006
Last updated
01/18/2026
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