Provider Demographics
NPI:1245862812
Name:HEFFELFINGER, ALLISON MARIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:HEFFELFINGER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52623-9010
Mailing Address - Country:US
Mailing Address - Phone:319-759-5944
Mailing Address - Fax:
Practice Address - Street 1:3140 AGENCY ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-1977
Practice Address - Country:US
Practice Address - Phone:319-752-2773
Practice Address - Fax:319-754-8440
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA203371835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA20337OtherIOWA BOARD OF PHARMACY