Provider Demographics
NPI:1932215183
Name:KAUSER, HEIDI DENISE (RPH)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:DENISE
Last Name:KAUSER
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 1:10146 STATE ROUTE 500
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879-9174
Mailing Address - Country:US
Mailing Address - Phone:419-399-9144
Mailing Address - Fax:
Practice Address - Street 1:100 N WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879-1281
Practice Address - Country:US
Practice Address - Phone:419-399-2023
Practice Address - Fax:419-399-9004
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-22772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist