Provider Demographics
NPI:1184841843
Name:MARCHAND, HEIDI M (RPH)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:M
Last Name:MARCHAND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6627 SAN BLAS PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-3756
Mailing Address - Country:US
Mailing Address - Phone:505-839-0586
Mailing Address - Fax:505-892-1163
Practice Address - Street 1:4300 RIDGECREST DR SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-5911
Practice Address - Country:US
Practice Address - Phone:505-994-2134
Practice Address - Fax:505-892-1163
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00005367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist