Provider Demographics
NPI:1679847453
Name:LOENNIG, HELEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:LOENNIG
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 1:1120 COLE ST
Mailing Address - Street 2:PO BOX 331
Mailing Address - City:HAINES
Mailing Address - State:OR
Mailing Address - Zip Code:97833
Mailing Address - Country:US
Mailing Address - Phone:541-523-0607
Mailing Address - Fax:
Practice Address - Street 1:700 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-2212
Practice Address - Country:US
Practice Address - Phone:541-523-0607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0009884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist