Provider Demographics
NPI:1093223349
Name:FELBER, HEIDE ANN (RPHARM)
Entity Type:Individual
Prefix:MS
First Name:HEIDE
Middle Name:ANN
Last Name:FELBER
Suffix:
Gender:F
Credentials:RPHARM
Other - Prefix:MS
Other - First Name:HEIDE
Other - Middle Name:ANN
Other - Last Name:DORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPHARM
Mailing Address - Street 1:31064 WAKEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-8208
Mailing Address - Country:US
Mailing Address - Phone:334-202-9971
Mailing Address - Fax:
Practice Address - Street 1:2866 DAUPHIN ST STE H
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-2482
Practice Address - Country:US
Practice Address - Phone:251-234-6074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8769183500000X
LAPST.021832183500000X
MST-14654183500000X
TX60601183500000X
AL15624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist