Justin C Heatwole, PHARM D Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1669842688
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P6669 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-10-02
- Last updated
- 2015-10-02
Practice location
615 Filer Ave
Twin Falls, ID 83301-4008
(208) 733-9242