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NPI Code Detail

MEDICARE: MRS. HEIDI LOUISE WOLFE PHARMD.

MEDICARE:  MRS. HEIDI LOUISE WOLFE  PHARMD.
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
1183500000XPharmacist19351IA

General Provider Information

NPI Number : 1457646366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI LOUISE WOLFE PHARMD.
Provider Business Mailing Address
First Line : 4228 WYNNEWOOD DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-1776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2710 SAINT FRANCIS DR STE 101
Second Line :
City : WATERLOO
State : IA
Zip : 50702-5633
Country : US
Telephone Number : 319-272-5700
Fax Number : 319-272-0188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 08/15/2017

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Directions to “ MRS. HEIDI LOUISE WOLFE PHARMD.” Practice Location

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