Provider Demographics
NPI:1013239003
Name:HAAS, ALDA LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALDA
Middle Name:LEE
Last Name:HAAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 OLYMPUS CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-7302
Mailing Address - Country:US
Mailing Address - Phone:772-291-3648
Mailing Address - Fax:
Practice Address - Street 1:114 OLYMPUS CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-7302
Practice Address - Country:US
Practice Address - Phone:772-291-3648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40198183500000X
FLRN1842812163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163W00000XNursing Service ProvidersRegistered Nurse