Individual
MR. ROGER DANA HAUSMANN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
2620 EL CAMINO REAL, SANTA CLARA, CA 95051-3041
(408) 241-0919
(408) 241-1202
Mailing address
2620 EL CAMINO REAL, SANTA CLARA, CA 95051-3041
(408) 241-0919
(408) 241-1202
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
159365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159365
PHARMACY TECNICIAN LICENSE
CA
Enumeration date
07/13/2021
Last updated
07/13/2021
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