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NPI Code Detail

MEDICARE: PATRICIA A HALTERMAN PHARM.D.

MEDICARE:   PATRICIA A HALTERMAN  PHARM.D.
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
11835X0200XOncology Pharmacist13102NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113102OTHERNVNV PHARMACY LICENSE

General Provider Information

NPI Number : 1750403283
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A HALTERMAN PHARM.D.
Provider Business Mailing Address
First Line : 1 BREAKTHROUGH WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-3011
Country : US
Telephone Number : 702-822-5433
Fax Number : 702-944-0451
Provider Business Practice Location Address
First Line : 1 BREAKTHROUGH WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-3011
Country : US
Telephone Number : 702-822-5373
Fax Number : 702-944-0451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 03/20/2009

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Directions to “ PATRICIA A HALTERMAN PHARM.D.” Practice Location

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