Individual ProviderHeidemarie WindhamPharmacistPharmacy Service ProvidersPractice Address521 Parnassus Ave # 0622, Ucsf Medical Center - Pharmacy, San Francisco, CA 94143-2206(509) 868-5750PECOS EnrollmentBased on the most recent information from CMS, provider Heidemarie Windham 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 ID1972527638Provider TypeIndividualFull NameWindham, HeidemarieTitleDr.CredentialPHARM.D.GenderFemaleSole ProprietorNoEnumeration Date7/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address521 Parnassus Ave # 0622, Ucsf Medical Center - Pharmacy, San Francisco, CA 94143-2206Phone(509) 868-5750FaxUnlisted FaxMailing LocationMailing Address1659 Mariani Dr, Sunnyvale, CA 94087-4650Phone(509) 868-5750FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense527929CaliforniaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense60371WashingtonProvider IdentifiersIDDescriptionIssuerID57929DescriptionOtherIssuerPHARMACIST LICENSECaliforniaID60371DescriptionOtherIssuerPHARMACIST LICENSEWashington