Provider Demographics
NPI:1356547921
Name:HAM, INSEEK EDDIE (PHARM D, RPH)
Entity type:Individual
Prefix:MR
First Name:INSEEK
Middle Name:EDDIE
Last Name:HAM
Suffix:
Gender:M
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2158 ROOT ST
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-5664
Mailing Address - Country:US
Mailing Address - Phone:714-680-6268
Mailing Address - Fax:
Practice Address - Street 1:1012 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-3634
Practice Address - Country:US
Practice Address - Phone:714-956-3741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH40016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist