Ethan Jon Heidorn is a pharmacist in St Louis Park, Minnesota. Patients can reach him at 3601 Highway 100 S, St Louis Park or contact him on 952-926-8967. Active license number of Ethan Jon Heidorn is 124875 for Pharmacist in Minnesota. Ethan Jon Heidorn is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Ethan Jon Heidorn speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Ethan Jon Heidorn
Specialization:
Pharmacist
Credentials:
PHARMD
Gender:
Male
Location:
3601 Highway 100 S, St Louis Park, Minnesota, 55416-2500
Phone:
952-926-8967
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Ethan Jon Heidorn are as mentioned below.
NPI Number:
1710561386
NPI Enumeration Date:
10 May, 2021
NPI Last Update On:
10 May, 2021
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Jon Heidorn are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
124875
Minnesota
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3601 Highway 100 S, St Louis Park, Minnesota
Zip:
55416-2500
Phone Number:
952-926-8967
Fax Number:
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Patients can reach Ethan Jon Heidorn at 3601 Highway 100 S, St Louis Park, Minnesota or can call on phone at 952-926-8967.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.