Individual
HEATHER GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3400 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-7214
(193) 396-4777
Mailing address
3804 G ST, AMANA, IA 52203-8017
(319) 622-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19968
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013342
—
IA
01
—
1477575116
NPI
—
Enumeration date
03/16/2007
Last updated
12/17/2021
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