Provider Demographics
NPI:1043534399
Name:DILMORE, HEATHER LANDERS (RPH)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LANDERS
Last Name:DILMORE
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 1:7472 S TUCSON WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4452
Mailing Address - Country:US
Mailing Address - Phone:800-438-4301
Mailing Address - Fax:800-233-3504
Practice Address - Street 1:7472 S TUCSON WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4452
Practice Address - Country:US
Practice Address - Phone:800-438-4301
Practice Address - Fax:800-233-3504
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16798183500000X
AL13674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist