Provider Demographics
NPI:1881301695
Name:HEARTLAND PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:HEARTLAND PHARMACY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEURANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-986-7827
Mailing Address - Street 1:9796 VALE ST NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-5546
Mailing Address - Country:US
Mailing Address - Phone:612-986-7827
Mailing Address - Fax:
Practice Address - Street 1:202 35TH STREET DR SE STE 100
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-1353
Practice Address - Country:US
Practice Address - Phone:319-449-9057
Practice Address - Fax:319-449-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy