Provider Demographics
NPI:1992160527
Name:HAUER, JANE MARIE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:MARIE
Last Name:HAUER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:16797 MISSISSIPPI BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-6428
Mailing Address - Country:US
Mailing Address - Phone:320-630-7286
Mailing Address - Fax:
Practice Address - Street 1:3601 18TH ST S
Practice Address - Street 2:#101
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-6011
Practice Address - Country:US
Practice Address - Phone:320-230-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-26
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN114288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist