Provider Demographics
NPI:1376870618
Name:HEFLIN, KIMBERLY FAYE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:FAYE
Last Name:HEFLIN
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 1:1103 WEST FM 3040
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067
Mailing Address - Country:US
Mailing Address - Phone:214-488-8680
Mailing Address - Fax:214-488-8693
Practice Address - Street 1:1103 W FM 3040
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-7900
Practice Address - Country:US
Practice Address - Phone:214-488-8680
Practice Address - Fax:214-488-8693
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39606183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist