Provider Demographics
NPI:1801179437
Name:MARKEL, HEATHER ALYSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ALYSE
Last Name:MARKEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:ALYSE
Other - Last Name:REINHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:103 MEDICINE WAY RD.
Mailing Address - City:PERIDOT
Mailing Address - State:AZ
Mailing Address - Zip Code:85542-0787
Mailing Address - Country:US
Mailing Address - Phone:928-475-1303
Mailing Address - Fax:928-475-7376
Practice Address - Street 1:103 MEDICINE WAY RD.
Practice Address - Street 2:
Practice Address - City:PERIDOT
Practice Address - State:AZ
Practice Address - Zip Code:85542-0787
Practice Address - Country:US
Practice Address - Phone:928-475-1303
Practice Address - Fax:928-475-7376
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17252183500000X
OH03127518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist