Provider Demographics
NPI:1326336298
Name:HALFIN, TIMOTHY J (RPH)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:J
Last Name:HALFIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SAWDUST RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2350
Mailing Address - Country:US
Mailing Address - Phone:832-279-6540
Mailing Address - Fax:
Practice Address - Street 1:425 SAWDUST RD
Practice Address - Street 2:SUITE B
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2350
Practice Address - Country:US
Practice Address - Phone:832-279-6540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist