Provider Demographics
NPI:1679795553
Name:HUSER, GREGG A (RPH)
Entity Type:Individual
Prefix:MR
First Name:GREGG
Middle Name:A
Last Name:HUSER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 W CORTEZ DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-8888
Mailing Address - Country:US
Mailing Address - Phone:928-284-9593
Mailing Address - Fax:928-284-9605
Practice Address - Street 1:48 W CORTEZ DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-8888
Practice Address - Country:US
Practice Address - Phone:928-284-9593
Practice Address - Fax:928-284-9605
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist