Heinz, Andrew Kelly

Heinz, Andrew Kelly is an individual health care provider with primary practice located at 618 S Meridian , Puyallup WA 98371-5999. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Heinz, Andrew Kelly can be contacted via phone (253) 848-2011.

Contact Information

Primary practice address
618 S Meridian Puyallup WA 98371-5999
Phone: (253) 848-2011
Fax: (253) 848-3119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60405978 Washington
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH60405978 Washington
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60405978 Washington
Pharmacy Service Providers / Pharmacist 183500000X PH60405978 Washington

Profile Details

NPI number 1376859801
LBN Legal business name Heinz, Andrew Kelly
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2010
Last updated Jun 20th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376859801 NPPES
Washington MEDICAID 2113322

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