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NPI Code Detail

MEDICARE: JOSEPH OLIVER HAUGE

MEDICARE: JOSEPH OLIVER HAUGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14869NV
2183500000XPharmacist6225NM

General Provider Information

NPI Number : 1942585906
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH OLIVER HAUGE
Provider Business Mailing Address
First Line : 935 PALMERSTON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-2618
Country : US
Telephone Number : 702-253-6684
Fax Number :
Provider Business Practice Location Address
First Line : 4470 E BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6330
Country : US
Telephone Number : 702-531-8006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “ JOSEPH OLIVER HAUGE ” Practice Location

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