Provider Demographics
NPI:1679905087
Name:HEILI, AIMEE J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:J
Last Name:HEILI
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 1:9728 BEDSTRAW ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-7589
Mailing Address - Country:US
Mailing Address - Phone:920-946-7033
Mailing Address - Fax:
Practice Address - Street 1:9728 BEDSTRAW ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-7589
Practice Address - Country:US
Practice Address - Phone:920-946-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist