Provider Demographics
NPI:1437981891
Name:HEGGEN, EMILIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:
Last Name:HEGGEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-2853
Mailing Address - Country:US
Mailing Address - Phone:309-781-6872
Mailing Address - Fax:
Practice Address - Street 1:2306 MUSCATINE AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6637
Practice Address - Country:US
Practice Address - Phone:319-337-3526
Practice Address - Fax:319-337-5271
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA25129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist