Provider Demographics
NPI:1629356860
Name:MCDANIEL, HEATHER NICHOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:NICHOLE
Last Name:MCDANIEL
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 1:7644 VOICE OF AMERICA CENTRE DR
Mailing Address - Street 2:T-1534
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2794
Mailing Address - Country:US
Mailing Address - Phone:513-712-1002
Mailing Address - Fax:513-719-1077
Practice Address - Street 1:7644 VOICE OF AMERICA CENTRE DR
Practice Address - Street 2:T-1534
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2794
Practice Address - Country:US
Practice Address - Phone:513-712-1002
Practice Address - Fax:513-719-1077
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist