Provider Demographics
NPI:1972872141
Name:CHAPMAN, HARRIET EVA (RPH)
Entity Type:Individual
Prefix:
First Name:HARRIET
Middle Name:EVA
Last Name:CHAPMAN
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 1:6200 SE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-1707
Mailing Address - Country:US
Mailing Address - Phone:515-309-5468
Mailing Address - Fax:515-309-5471
Practice Address - Street 1:6200 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-1707
Practice Address - Country:US
Practice Address - Phone:515-309-5468
Practice Address - Fax:515-309-5471
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-17
Last Update Date:2011-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist