Individual provider · Type 1 NPI
Heather Mandeville, PharmD, BCPS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · St. Louis, MO
Practice location
6420 Clayton Rd
St. Louis, MO 63117-1811
Mailing address
1153 Frontage Rd
Collinsville, IL 62234-5835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 2006021558 (MO) |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051.291411 (IL) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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About NPI 1619119773
Heather Mandeville, PharmD, BCPS's National Provider Identifier is 1619119773, issued on Apr 3, 2009. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in St. Louis, MO. The record was last updated on Apr 3, 2009.