Provider Demographics
NPI:1558845305
Name:HAUF, STEVEN FREDERICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:FREDERICK
Last Name:HAUF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1109 BURLESON ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5304
Mailing Address - Country:US
Mailing Address - Phone:817-271-2793
Mailing Address - Fax:
Practice Address - Street 1:301 N WASHINGTON AVE
Practice Address - Street 2:BSWQA PHARMACY DEPT C/O PAULA WALKER, RPH
Practice Address - City:DALLAS TX 75246
Practice Address - State:TX
Practice Address - Zip Code:75246-1754
Practice Address - Country:US
Practice Address - Phone:469-800-8330
Practice Address - Fax:469-800-8335
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67105183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist