Provider Demographics
NPI:1043552136
Name:HEARD, ELIZABETH FARRELL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:FARRELL
Last Name:HEARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:FARRELL
Other - Last Name:MATLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5303 S MASON RD
Mailing Address - Street 2:#1014
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7150
Mailing Address - Country:US
Mailing Address - Phone:210-415-8592
Mailing Address - Fax:
Practice Address - Street 1:20005 KATY FWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2238
Practice Address - Country:US
Practice Address - Phone:281-578-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist