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NPI Code Detail

MEDICARE: HALLERS PHARMACY AND MEDICAL SUPPLY, INC.

MEDICARE: HALLERS PHARMACY AND MEDICAL SUPPLY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1215073259
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALLERS PHARMACY AND MEDICAL SUPPLY, INC.
Provider Business Mailing Address
First Line : 37323 FREMONT BLVD
Second Line :
City : FREMONT
State : CA
Zip : 94536-3702
Country : US
Telephone Number : 510-797-2772
Fax Number : 510-797-4986
Provider Business Practice Location Address
First Line : 37323 FREMONT BLVD
Second Line :
City : FREMONT
State : CA
Zip : 94536-3702
Country : US
Telephone Number : 510-797-2772
Fax Number : 510-797-4986
Authorized Official
Title or Position : CEO
Name : JASMINE BASRAI
Credential :
Telephone Number : 510-797-2772
Provider Enumeration Date : 01/29/2007
Last Update Date : 03/05/2019

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