Individual
DR. HEATHER MARCELLE RICKERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D RPH
Contact information
Practice address
2826 W LOCUST ST STE 1, DAVENPORT, IA 52804-3354
(563) 332-8528
Mailing address
2826 W LOCUST ST STE 1, DAVENPORT, IA 52804-3354
(563) 332-8528
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20196
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014813
—
IA
Enumeration date
11/15/2006
Last updated
12/12/2025
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