Healthcare Provider Details

I. General information

NPI: 1336749555
Provider Name (Legal Business Name): CLAIR A HEPLER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3163 STATE ROUTE 257
SENECA PA
16346-2425
US

IV. Provider business mailing address

3163 STATE ROUTE 257
SENECA PA
16346-2425
US

V. Phone/Fax

Practice location:
  • Phone: 814-677-1408
  • Fax: 814-677-1495
Mailing address:
  • Phone: 814-677-1408
  • Fax: 814-677-1495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP033002L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: