Individual
HEATHER L OURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
(515) 699-5672
Mailing address
1209 W 2ND AVE APT 9D, INDIANOLA, IA 50125-4120
(515) 699-5999
(515) 699-5672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029206
MI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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