Provider Demographics
NPI:1528592136
Name:CIEPLY, HEATHER JILL (RPH)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JILL
Last Name:CIEPLY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PADANARAM RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3701
Mailing Address - Country:US
Mailing Address - Phone:203-730-4870
Mailing Address - Fax:
Practice Address - Street 1:35 PADANARAM RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-3701
Practice Address - Country:US
Practice Address - Phone:203-730-4870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031184L183500000X
CT8634183500000X
FLPS18340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist