Provider Demographics
NPI:1174679435
Name:HAIRE, JASON PRICE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PRICE
Last Name:HAIRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 PRAIRIE CREEK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482
Mailing Address - Country:US
Mailing Address - Phone:903-438-0770
Mailing Address - Fax:
Practice Address - Street 1:411 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2762
Practice Address - Country:US
Practice Address - Phone:903-438-0770
Practice Address - Fax:903-438-0827
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist