Provider Demographics
NPI:1437717964
Name:CARTWRIGHT, HEATHER JOAN (CPHT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JOAN
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 GREENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:N SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-7519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 HIGHLAND CORPORATE DR # 8066
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-8703
Practice Address - Country:US
Practice Address - Phone:401-770-9454
Practice Address - Fax:401-262-5914
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPH201555183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician