Provider Demographics
NPI:1558610329
Name:ALJUMAILY, HALA (HALA ALJUMAILY)
Entity Type:Individual
Prefix:
First Name:HALA
Middle Name:
Last Name:ALJUMAILY
Suffix:
Gender:F
Credentials:HALA ALJUMAILY
Other - Prefix:
Other - First Name:HALA
Other - Middle Name:
Other - Last Name:ALJUMAILY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HALA ALJUMAILY
Mailing Address - Street 1:206 VERNON WHITE RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8626
Mailing Address - Country:US
Mailing Address - Phone:252-756-2033
Mailing Address - Fax:
Practice Address - Street 1:671 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2856
Practice Address - Country:US
Practice Address - Phone:252-754-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist