Provider Demographics
NPI:1093801409
Name:FLODEN, HEIDI (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:FLODEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 A ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8439
Mailing Address - Country:US
Mailing Address - Phone:202-487-6101
Mailing Address - Fax:
Practice Address - Street 1:1365 A ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8439
Practice Address - Country:US
Practice Address - Phone:202-486-7521
Practice Address - Fax:916-330-6919
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000255183500000X
VA0202204240183500000X
MI5302030356183500000X
MD15982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist