Provider Demographics
NPI:1326447723
Name:MESHREKI, HEIDI (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:MESHREKI
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 1:3580 S OCEAN BLVD APT 3B
Mailing Address - Street 2:
Mailing Address - City:SOUTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6422
Mailing Address - Country:US
Mailing Address - Phone:913-206-5251
Mailing Address - Fax:
Practice Address - Street 1:10130 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-1101
Practice Address - Country:US
Practice Address - Phone:561-799-6808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist