Provider Demographics
NPI:1043363690
Name:HALLETT, WILLIAM C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:HALLETT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 LITTLEWORTH LN
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-1919
Mailing Address - Country:US
Mailing Address - Phone:516-672-0195
Mailing Address - Fax:
Practice Address - Street 1:403 LITTLEWORTH LN
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1919
Practice Address - Country:US
Practice Address - Phone:516-672-0195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035415-11835G0303X, 1835P1200X, 183500000X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric