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NPI Code Detail

MEDICARE: MS. HEIDI JO PRICE-EASTMAN RPH

MEDICARE: MS. HEIDI JO PRICE-EASTMAN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist17190IA
2183500000XPharmacist17190IA

General Provider Information

NPI Number : 1396846192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEIDI JO PRICE-EASTMAN RPH
Provider Business Mailing Address
First Line : 10834 N 99TH AVE W
Second Line :
City : COLLINS
State : IA
Zip : 50055-8543
Country : US
Telephone Number : 515-210-8480
Fax Number :
Provider Business Practice Location Address
First Line : 1200 UNIVERSITY AVE STE 105
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2355
Country : US
Telephone Number : 515-248-1550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/07/2025

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Directions to “ MS. HEIDI JO PRICE-EASTMAN RPH” Practice Location

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