Provider Demographics
NPI:1396846192
Name:PRICE-EASTMAN, HEIDI JO (RPH)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:JO
Last Name:PRICE-EASTMAN
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 1:10834 N 99TH AVE W
Mailing Address - Street 2:
Mailing Address - City:COLLINS
Mailing Address - State:IA
Mailing Address - Zip Code:50055-8543
Mailing Address - Country:US
Mailing Address - Phone:515-210-8480
Mailing Address - Fax:
Practice Address - Street 1:1200 UNIVERSITY AVE STE 105
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2355
Practice Address - Country:US
Practice Address - Phone:515-248-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA171901835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist