Individual ProviderHeather L StantonPharmacistPharmacy Service ProvidersPractice Address4680 Broadway, Allentown, PA 18104-3214(610) 351-2666PECOS EnrollmentBased on the most recent information from CMS, provider Heather L Stanton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447704499Provider TypeIndividualFull NameStanton, Heather LCredentialRPH, BCNSP, MBAGenderFemaleSole ProprietorNoEnumeration Date8/8/2016Last Updated8/8/2016Contact InformationPractice LocationPractice Address4680 Broadway, Allentown, PA 18104-3214Phone(610) 351-2666Fax(610) 351-2662Mailing LocationMailing Address4680 Broadway, Allentown, PA 18104-3214Phone(610) 351-2666Fax(610) 351-2662Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP032537LPennsylvaniaCode1835N1003XDescriptionPharmacistPharmacy Service ProvidersLicenseRP032537LPennsylvania