Provider Demographics
NPI:1295055184
Name:HAUBNER, JOHN NORMAN (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NORMAN
Last Name:HAUBNER
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 1:4290 CROCE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7106
Mailing Address - Country:US
Mailing Address - Phone:925-399-6676
Mailing Address - Fax:
Practice Address - Street 1:4290 CROCE CT
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7106
Practice Address - Country:US
Practice Address - Phone:925-399-6676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist