Provider Demographics
NPI:1285972554
Name:HARTE, MAITE EGUIA (RPH)
Entity type:Individual
Prefix:MRS
First Name:MAITE
Middle Name:EGUIA
Last Name:HARTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 RIVER HILLS RD
Mailing Address - Street 2:T-1807
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2550
Mailing Address - Country:US
Mailing Address - Phone:828-298-4262
Mailing Address - Fax:828-333-9814
Practice Address - Street 1:115 RIVER HILLS RD
Practice Address - Street 2:T-1807
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2550
Practice Address - Country:US
Practice Address - Phone:828-298-4262
Practice Address - Fax:828-333-9814
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist