Provider Demographics
NPI:1447422555
Name:EGGLESTON, HEATHER LAYNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LAYNE
Last Name:EGGLESTON
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 1:8 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-7020
Mailing Address - Country:US
Mailing Address - Phone:781-724-2302
Mailing Address - Fax:
Practice Address - Street 1:8 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-7020
Practice Address - Country:US
Practice Address - Phone:781-724-2302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26782183500000X
NH3492183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist