Dr. Jessie Heaton, Pharm.D
Pharmacist in Lubbock, TX. Individual provider (NPI-1).
NPI number1437540366
StatusActive
Last updated in NPPESFeb 13, 2015
Details
- NPI
- 1437540366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessie Heaton
- Credential
- Pharm.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2015
- Last updated
- Feb 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 46341 | TX | Yes |
Practice location
3706 20th St Ste ALubbock, TX 79410-1222
Phone 806-791-4663 · Fax 800-791-7851
Mailing address
3706 20th St Ste ALubbock, TX 79410-1222
Phone 806-791-4663 · Fax 800-791-7851
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