NPI | 1891771747 |
---|---|
Doing Business As | HEARTLAND PHARMACY |
Entity Type | Organization |
Authorized Contact | HEATHER SHORTSLEEVE Corporate Dme Support Specialist 208-552-7677 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1679LS) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID 1680CP) |
333600000X Pharmacy (Licence: ID 1680CP) | |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 1680CP) | |
Enumeration Date | 2005-12-21 |
Last Update Date | 2021-01-04 |