Provider Demographics
NPI:1487307047
Name:HA, CHAE (RPH)
Entity type:Individual
Prefix:
First Name:CHAE
Middle Name:
Last Name:HA
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 1:1200 WELSH RD STE A4
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-3771
Mailing Address - Country:US
Mailing Address - Phone:267-222-8881
Mailing Address - Fax:267-263-2009
Practice Address - Street 1:1200 WELSH RD STE A4
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3771
Practice Address - Country:US
Practice Address - Phone:267-222-8881
Practice Address - Fax:267-263-2009
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044256L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist