Individual
DR. THEODORE D HEIERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1350 S HICKORY ST, DEPT OF PHARMACY, MELBOURNE, FL 32901-3278
(321) 434-1838
(321) 434-5211
Mailing address
4702 CREW CIR, APT 12, MELBOURNE, FL 32904-8445
(321) 434-1838
(321) 434-5211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS 36609
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS 36609
FL
Other
Enumeration date
08/10/2005
Last updated
09/11/2025
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