Kallivayalil, Heidi Rubach

Kallivayalil, Heidi Rubach is an sole proprietor health care provider with primary practice located at 13033 Harborton Dr , Jacksonville FL 32224-8498. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kallivayalil, Heidi Rubach can be contacted via phone (904) 894-3213.

Contact Information

Primary practice address
13033 Harborton Dr Jacksonville FL 32224-8498
Phone: (904) 894-3213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS40287 Florida

Profile Details

NPI number 1699742726
LBN Legal business name Kallivayalil, Heidi Rubach
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Aug 24th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers