Individual
DEAN A HEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1338 E GRANDVIEW BLVD, ERIE, PA 16504-2736
(814) 825-0625
Mailing address
619 VIRGINIA AVE, ERIE, PA 16505-4611
(814) 881-5666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040183L
PA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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