Mandeville, Heather

Mandeville, Heather is an sole proprietor health care provider with primary practice located at 6420 Clayton Rd , Saint Louis MO 63117-1811. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Mandeville, Heather can be contacted via phone (314) 768-8365.

Contact Information

Primary practice address
6420 Clayton Rd Saint Louis MO 63117-1811
Phone: (314) 768-8365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2006021558 Missouri
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051.291411 Illinois

Profile Details

NPI number 1619119773
LBN Legal business name Mandeville, Heather
Credentials PHARMD, BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2009
Last updated Apr 3rd, 2009 - about 15 years 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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