Heather James Anglin, RPH
Individual provider Active NPI Pharmacist · Watkinsville, GA
NPI 1194062802 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1194062802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 019611 (GA)
- Practice address
- 2061 Experiment Station Rd
Watkinsville, GA 30677-5328 - Phone
- (706) 769-2086
- Fax
- (706) 769-7653
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019611 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019611 | GA | Yes |
Addresses
Primary practice location
2061 Experiment Station Rd
Watkinsville, GA 30677-5328
Mailing address
2061 Experiment Station Rd
Watkinsville, GA 30677-5328
Phone (706) 769-2086
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.