Provider Demographics
NPI:1508580481
Name:LEY, HEIDI (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:LEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:ASCHENBRENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10215 TINSMITH TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1430
Mailing Address - Country:US
Mailing Address - Phone:307-631-2171
Mailing Address - Fax:
Practice Address - Street 1:2360 E PERSHING BLVD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5356
Practice Address - Country:US
Practice Address - Phone:307-778-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.00228141835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist