Individual provider · Type 1 NPI

Heidi Joan Vassallo, CPHT

Pharmacy Technician · Macclenny, FL

NPI number 1154422145 Active

Practice location

1436 S 6th St
Macclenny, FL 32063-4623

Fax (904) 259-5275

Mailing address

19699 Quiet Woods Ln
Glen St. Mary, FL 32040-2545

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X2901-0104-0755-004 (FL)

Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

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About NPI 1154422145

Heidi Joan Vassallo, CPHT's National Provider Identifier is 1154422145, issued on Sep 25, 2006. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Macclenny, FL. The record was last updated on Jul 8, 2007.