Provider Demographics
NPI:1811430747
Name:CHOW, HEIDI (RPH)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:CHOW
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 1:7058 VIOLET VEIL CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8304
Mailing Address - Country:US
Mailing Address - Phone:614-873-2899
Mailing Address - Fax:
Practice Address - Street 1:7300 STATE ROUTE 161 E
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-9276
Practice Address - Country:US
Practice Address - Phone:614-733-5012
Practice Address - Fax:614-733-5003
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-26
Last Update Date:2016-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03321602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist