Healthcare Provider Details

I. General information

NPI: 1023664000
Provider Name (Legal Business Name): ALAINA HALTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 CAPE HORN RD
RED LION PA
17356-8203
US

IV. Provider business mailing address

3033 ACORN LN
RED LION PA
17356-9754
US

V. Phone/Fax

Practice location:
  • Phone: 717-246-1322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPI013258
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453751
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: