Provider Demographics
NPI:1972947869
Name:MURRAY, HEATHER WARD (RPH)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:WARD
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 SHREVEPORT BARKSDALE HWY
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2201
Mailing Address - Country:US
Mailing Address - Phone:318-861-3985
Mailing Address - Fax:866-565-2644
Practice Address - Street 1:745 SHREVEPORT BARKSDALE HWY
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2201
Practice Address - Country:US
Practice Address - Phone:318-861-3985
Practice Address - Fax:866-565-2644
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist