Provider Demographics
NPI:1023777638
Name:CULLIGAN, HEATHER MARIE (CPHT)
Entity type:Individual
Prefix:
First Name:HEATHER MARIE
Middle Name:
Last Name:CULLIGAN
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 MERCHANT PL
Mailing Address - Street 2:
Mailing Address - City:COBLESKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12043
Mailing Address - Country:US
Mailing Address - Phone:518-234-1186
Mailing Address - Fax:
Practice Address - Street 1:139 MERCHANT PL
Practice Address - Street 2:
Practice Address - City:COBLESKILL
Practice Address - State:NY
Practice Address - Zip Code:12043-3103
Practice Address - Country:US
Practice Address - Phone:518-234-1186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician