Provider Demographics
NPI:1538762349
Name:RAMSEY, HEATHER JONES (RPH)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:JONES
Last Name:RAMSEY
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 1:1611 LAKE SUPERIOR RD APT 208
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-6263
Mailing Address - Country:US
Mailing Address - Phone:219-707-1907
Mailing Address - Fax:
Practice Address - Street 1:505 E 1100 N
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-9697
Practice Address - Country:US
Practice Address - Phone:219-926-1420
Practice Address - Fax:219-395-8947
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021353A183500000X
NC13067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist