Provider Demographics
NPI:1386800209
Name:EUKEL, HEIDI N (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:N
Last Name:EUKEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 SHEYENNE ST STE 218
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-7211
Mailing Address - Country:US
Mailing Address - Phone:701-356-7455
Mailing Address - Fax:701-356-7458
Practice Address - Street 1:3306 SHEYENNE ST STE 218
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-7211
Practice Address - Country:US
Practice Address - Phone:701-356-7455
Practice Address - Fax:701-356-7458
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist