Provider Demographics
NPI:1609287101
Name:DUNAKIN, HEATHER KATHLEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:KATHLEEN
Last Name:DUNAKIN
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 1:4075 MARVISTA AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-7475
Mailing Address - Country:US
Mailing Address - Phone:989-773-3123
Mailing Address - Fax:
Practice Address - Street 1:4075 MAVISTA AVE
Practice Address - Street 2:APT 304
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49246
Practice Address - Country:US
Practice Address - Phone:616-432-9690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist