Provider Demographics
NPI:1437343126
Name:MCHENRY-KROETCH, HEATHER K (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:K
Last Name:MCHENRY-KROETCH
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S COWLEY ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1500
Mailing Address - Country:US
Mailing Address - Phone:509-954-8725
Mailing Address - Fax:
Practice Address - Street 1:125 S COWLEY ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1500
Practice Address - Country:US
Practice Address - Phone:509-954-8725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00070139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist