Provider Demographics
NPI:1104940006
Name:HAAS, ROBERT CHAUNCEY (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHAUNCEY
Last Name:HAAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JUNIPER RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1424
Mailing Address - Country:US
Mailing Address - Phone:603-434-5493
Mailing Address - Fax:603-434-5493
Practice Address - Street 1:1 JUNIPER RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1424
Practice Address - Country:US
Practice Address - Phone:603-434-5493
Practice Address - Fax:603-434-5493
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist