Provider Demographics
NPI:1144420159
Name:STRAWSELL, HEATHER MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:STRAWSELL
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 1:1717 SOUTH UNIVERSITY DR
Mailing Address - Street 2:PO BOX MC
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58122-0334
Mailing Address - Country:US
Mailing Address - Phone:701-280-4997
Mailing Address - Fax:701-280-4490
Practice Address - Street 1:1717 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-280-4997
Practice Address - Fax:701-280-4490
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118035183500000X
ND4980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist