Provider Demographics
NPI:1609089176
Name:EDDY, HELEN ELIZABETH (RPH)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ELIZABETH
Last Name:EDDY
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 1:209 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-6498
Mailing Address - Country:US
Mailing Address - Phone:515-223-1652
Mailing Address - Fax:515-327-2162
Practice Address - Street 1:5820 WESTOWN PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8223
Practice Address - Country:US
Practice Address - Phone:515-453-2785
Practice Address - Fax:515-327-2162
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16134183500000X
KS11270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist