Provider Demographics
NPI:1861866238
Name:HAUSER, SETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:HAUSER
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 1:801 LEGACY DR APT 2318
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2228
Mailing Address - Country:US
Mailing Address - Phone:304-374-3531
Mailing Address - Fax:
Practice Address - Street 1:1320 W MCDERMOTT DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2844
Practice Address - Country:US
Practice Address - Phone:214-495-0204
Practice Address - Fax:214-495-0206
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-22
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist