Provider Demographics
NPI:1518394378
Name:HARROSH, SAL ISRAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:SAL
Middle Name:ISRAEL
Last Name:HARROSH
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 1:2032 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3150
Mailing Address - Country:US
Mailing Address - Phone:917-392-7720
Mailing Address - Fax:
Practice Address - Street 1:2032 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3150
Practice Address - Country:US
Practice Address - Phone:917-392-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist