DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERY DAVID HAUGEN

Active

Pharmacist Clinician (PhC) · LA PORTE, IN

Registration Details

NPI Number
1013502467
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2021 (5.1400754096896 yrs)
Last Updated
Jun 30, 2021
Licenses
CV2100518 (IN)
26029234A (IN)

Practice Information

Address
55 PINE LAKE AVE
LA PORTE, IN, 463503027
Browse IN providers · Browse ZIP 46350
Phone
2193253152
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in LA PORTE, IN

Name Credential NPI
KEVIN R NELSON PHARMD 1316379894
RICHARD OMBREMBOWSKI R.PH 1629712518
CANDACE ROTONDI 1508505785
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.