Provider Demographics
NPI:1114521283
Name:ZAPORETSKY, HEATHER ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANNE
Last Name:ZAPORETSKY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-1708
Mailing Address - Country:US
Mailing Address - Phone:781-843-0731
Mailing Address - Fax:
Practice Address - Street 1:178 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-1708
Practice Address - Country:US
Practice Address - Phone:781-843-0731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist