Provider Demographics
NPI:1821388067
Name:HAUSER, ERIC RAYMOND (RPH)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:RAYMOND
Last Name:HAUSER
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 1:1121 CHAUCER DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9047
Mailing Address - Country:US
Mailing Address - Phone:724-301-0906
Mailing Address - Fax:412-967-8662
Practice Address - Street 1:639 ALPHA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2819
Practice Address - Country:US
Practice Address - Phone:724-301-0906
Practice Address - Fax:412-967-8662
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040993L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist