Provider Demographics
NPI:1396576971
Name:DAVOE, HELIANTHUS (PHARMD, BCPS, HIVPCP)
Entity type:Individual
Prefix:DR
First Name:HELIANTHUS
Middle Name:
Last Name:DAVOE
Suffix:
Gender:F
Credentials:PHARMD, BCPS, HIVPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 BAYARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47713-2322
Mailing Address - Country:US
Mailing Address - Phone:812-619-0898
Mailing Address - Fax:
Practice Address - Street 1:101 NW 1ST ST STE 215
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1259
Practice Address - Country:US
Practice Address - Phone:812-619-0898
Practice Address - Fax:833-481-6777
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022943183500000X
IN26029382A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist