Provider Demographics
NPI:1902182389
Name:HEILMANN, RENEE G (PHARMD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:G
Last Name:HEILMANN
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 1:2550 BELL RD
Mailing Address - Street 2:SAFEWAY PHARMACY
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-2502
Mailing Address - Country:US
Mailing Address - Phone:530-401-9979
Mailing Address - Fax:530-401-9966
Practice Address - Street 1:2550 BELL RD
Practice Address - Street 2:SAFEWAY PHARMACY
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2502
Practice Address - Country:US
Practice Address - Phone:530-401-9979
Practice Address - Fax:530-401-9966
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53411183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist