Provider Demographics
NPI:1568151140
Name:ALKHALIL, HOUSNI DEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOUSNI
Middle Name:DEAN
Last Name:ALKHALIL
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 1:7 HERSHEY RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5516
Mailing Address - Country:US
Mailing Address - Phone:732-925-5562
Mailing Address - Fax:
Practice Address - Street 1:7 HERSHEY RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5516
Practice Address - Country:US
Practice Address - Phone:732-925-5562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04304800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist