Provider Demographics
NPI:1932477569
Name:HARPSTER, DEAN M (CPHT)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:M
Last Name:HARPSTER
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
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Mailing Address - Street 1:410 S BUENA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3277
Mailing Address - Country:US
Mailing Address - Phone:408-899-2975
Mailing Address - Fax:408-689-9655
Practice Address - Street 1:1601 COLEMAN AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3122
Practice Address - Country:US
Practice Address - Phone:408-988-0565
Practice Address - Fax:408-567-9061
Is Sole Proprietor?:No
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CATCH103749183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician