Provider Demographics
NPI:1073020293
Name:FRYNKEWICZ, HEIDI ANN (PHARMD, MHSA, RPH)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ANN
Last Name:FRYNKEWICZ
Suffix:
Gender:F
Credentials:PHARMD, MHSA, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-2417
Mailing Address - Country:US
Mailing Address - Phone:814-451-0937
Mailing Address - Fax:814-454-8431
Practice Address - Street 1:1407 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-2417
Practice Address - Country:US
Practice Address - Phone:814-451-0937
Practice Address - Fax:814-454-8431
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist