Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ANN HETTICH, PHARMD, CGP
ActiveLISA ANN HETTICH, PHARMD, CGP is a Pharmacotherapy Specialist healthcare provider located in CLOVERDALE, Indiana. NPI 1871598193 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · CLOVERDALE, IN
Registration Details
- NPI Number
- 1871598193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2005 (21.1655191784 yrs)
- Last Updated
- Jul 8, 2007
- License
-
26019317A (IN)
Practice Information
- Address
-
6651 S COUNTY ROAD 1000 ECLOVERDALE, IN, 461208528Browse IN providers · Browse ZIP 46120
- Phone
- 7657202775
- Fax
- 7655268066
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.