IndividualActive
Heather Mandeville, PHARMD, BCPS
NPI 1619119773 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Saint Louis, MO
Provider details
- NPI number
- 1619119773
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD, BCPS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2006021558 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone: (314) 768-8365
Approximate (ZIP-level) locationGet directions
Mailing address
1153 Frontage Rd
Collinsville, IL 62234-5835
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2009-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.