Provider Demographics
NPI:1477918480
Name:ALFORD, HEATHER (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:ALFORD
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 1:1018 S BATESVILLE RD STE 4A
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5203
Mailing Address - Country:US
Mailing Address - Phone:864-479-1471
Mailing Address - Fax:866-226-9133
Practice Address - Street 1:1018 S BATESVILLE RD STE 4A
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5203
Practice Address - Country:US
Practice Address - Phone:864-479-1471
Practice Address - Fax:866-226-9133
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12884183500000X
MST-13149183500000X
AL18128183500000X
AZS020783183500000X
IDP7125183500000X
KS1-106666183500000X
KY017016183500000X
LAPST.020520183500000X
MD22376183500000X
MI5302043862183500000X
NE14780183500000X
OK16479183500000X
ORRPH-0014384183500000X
TN37349183500000X
SC10733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist