Provider Demographics
NPI:1376517680
Name:LANKFORD, HEATHER A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:A
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:LANKFORD
Other - Last Name:GESKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:837 SALTMEADOW BAY ARCH
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6279
Mailing Address - Country:US
Mailing Address - Phone:757-961-9912
Mailing Address - Fax:
Practice Address - Street 1:837 SALTMEADOW BAY ARCH
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6279
Practice Address - Country:US
Practice Address - Phone:757-961-9912
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022067141835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy