Provider Demographics
NPI:1104944966
Name:HEIRIGS, STEVEN J (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:HEIRIGS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2120 CARR ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-6990
Mailing Address - Country:US
Mailing Address - Phone:605-624-9591
Mailing Address - Fax:605-624-9593
Practice Address - Street 1:525 W CHERRY ST
Practice Address - Street 2:HY-VEE PHARMACY
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069
Practice Address - Country:US
Practice Address - Phone:605-624-9591
Practice Address - Fax:605-924-9593
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD4260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist