Provider Demographics
NPI:1730960386
Name:HEATHER-CHAPPIUS, TAMARA (RPH)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:HEATHER-CHAPPIUS
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 1:707 US HIGHWAY 50 W
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1941
Mailing Address - Country:US
Mailing Address - Phone:636-583-2646
Mailing Address - Fax:636-583-4310
Practice Address - Street 1:707 US HIGHWAY 50 W
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1941
Practice Address - Country:US
Practice Address - Phone:636-583-2646
Practice Address - Fax:636-583-4310
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO04843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist