Provider Demographics
NPI:1851703565
Name:HEINDL, ANNA CLAIRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CLAIRE
Last Name:HEINDL
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 1:1645 W GOVERNMENT CV STE E
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-4602
Mailing Address - Country:US
Mailing Address - Phone:601-720-5775
Mailing Address - Fax:
Practice Address - Street 1:1645 W GOVERNMENT CV STE E
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-4602
Practice Address - Country:US
Practice Address - Phone:601-720-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS10757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist