Individual
DANIELLE HEIBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 S US HIGHWAY 81, FREEMAN, SD 57029-2000
(605) 925-4510
Mailing address
220 E 5TH ST, BRIDGEWATER, SD 57319-2113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5527
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5527
PHARMACIST LICENSE
SD
Enumeration date
06/06/2007
Last updated
08/29/2019
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