Most Relevant Information
Provider Data
| NPI Number: | 1003248345 |
| Provider Name: | HEATHER ANN FAGAN THOMPSOM CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | PT02778 |
Most Important Dates
| Enumeration Date: | 08/08/2013 |
| Last Updated: | 08/08/2013 |
Provider Practice Location
6868 SKY POINTE DR
2063
LAS VEGAS
NV
891316101
Practice Location Phone/Fax
| Phone: | 7025767243 |
| Fax: |
Provider Mailing Location
6868 SKY POINTE DR
2063
LAS VEGAS
NV
891316101
Provider Mailing Phone/Fax
| Phone: | 7025767243 |
| Fax: |