Individual
MR. PATRICK M HEYERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-2444
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17765
IA
Other
Enumeration date
08/30/2006
Last updated
05/09/2012
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