Provider Demographics
NPI:1164026829
Name:YOUNGS, HEATHER M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:YOUNGS
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 1:1180 PORTER DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-3101
Mailing Address - Country:US
Mailing Address - Phone:517-281-8344
Mailing Address - Fax:
Practice Address - Street 1:1406 N EATON ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:MI
Practice Address - Zip Code:49224-9470
Practice Address - Country:US
Practice Address - Phone:517-629-8826
Practice Address - Fax:517-629-6122
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist