MEDICARE: HALAH S BILLY PHARMD

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
1	183500000X	Pharmacist	5302416921	MI

General Provider Information

NPI Number	:	1043015803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALAH S BILLY PHARMD

Provider Business Mailing Address
First Line	:	33233 STONER DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-6663
Country	:	US
Telephone Number	:	586-457-3345
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 10TH ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-4404
Country	:	US
Telephone Number	:	810-989-5990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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