Provider Demographics
NPI:1588299846
Name:WOLDAY, HELEN Z (RPH)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:Z
Last Name:WOLDAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:WOLDAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1316 WESTMINSTER ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-3313
Mailing Address - Country:US
Mailing Address - Phone:702-727-9904
Mailing Address - Fax:
Practice Address - Street 1:8468 TAMARACK BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3738
Practice Address - Country:US
Practice Address - Phone:651-731-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18092183500000X
MN124635183500000X
TX51135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist