Provider Demographics
NPI:1376753871
Name:GRIFFIN, HEATHER LOVETT (HEATHER GRIFFIN)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LOVETT
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:HEATHER GRIFFIN
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:LOVETT
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HEATHER GRIFFIN
Mailing Address - Street 1:8278 THORNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38002
Mailing Address - Country:US
Mailing Address - Phone:901-752-3949
Mailing Address - Fax:
Practice Address - Street 1:2525 HORIZON LAKE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-8119
Practice Address - Country:US
Practice Address - Phone:877-882-7820
Practice Address - Fax:901-384-8002
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist