Most Relevant Information
Provider Data
| NPI Number: | 1003070947 |
| Provider Name: | HEATHER LYNNE BLUE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 118868 |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 07/10/2008 |
Provider Practice Location
4050 COON RAPIDS BLVD NW
COON RAPIDS
MN
554332522
Practice Location Phone/Fax
| Phone: | 7632367123 |
| Fax: |
Provider Mailing Location
4050 COON RAPIDS BLVD NW
COON RAPIDS
MN
554332522
Provider Mailing Phone/Fax
| Phone: | 7632367123 |
| Fax: |