Provider Demographics
NPI:1083997498
Name:FORAN, HEATHER R (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:FORAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9085 HIGHWAY 119
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-5376
Mailing Address - Country:US
Mailing Address - Phone:205-624-6224
Mailing Address - Fax:205-624-6227
Practice Address - Street 1:9085 HIGHWAY 119
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-5376
Practice Address - Country:US
Practice Address - Phone:205-624-6224
Practice Address - Fax:205-624-6227
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15444183500000X
KY013480183500000X
TN31276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist