NPI 1043704976

Jessica Heiser, PHARMD

Practitioner Pharmacist Broken Arrow, OK

Practice location

Address: 2530 N Elm Pl, Broken Arrow, OK 74012-1285
Phone: (918) 994-1400
Fax: (918) 994-6522

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17620 (OK)

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Registry record

NPI: 1043704976
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2018
Record last updated: 14 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.