ETHAN JON HEIDORN PHARMD
NPI 1710561386
Pharmacist in St Louis Park, MN
About Ethan Jon Heidorn Pharmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN JON HEIDORN PHARMD (NPI 1710561386) is an individual pharmacist in St Louis Park, Minnesota, licensed in Minnesota (124875) and active in the NPI registry since May 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Heidorn's NPI number?
The NPI number for Ethan Heidorn is 1710561386. It was assigned to this individual provider in the NPPES registry on May 10, 2021.
Where is Ethan Heidorn located?
Ethan Heidorn practices at 3601 Highway 100 S, St Louis Park, MN 55416. The listed phone number is (952) 926-8967.
What is Ethan Heidorn's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Ethan Heidorn was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.