Provider Demographics
NPI:1578286779
Name:HALAPIN, DEIDRA (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:DEIDRA
Middle Name:
Last Name:HALAPIN
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 8TH ST
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2435
Mailing Address - Country:US
Mailing Address - Phone:724-266-9194
Mailing Address - Fax:
Practice Address - Street 1:300 8TH ST
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2435
Practice Address - Country:US
Practice Address - Phone:724-266-9194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist