Provider Demographics
NPI:1609873967
Name:HALPERN, SAMUEL MEYER (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:MEYER
Last Name:HALPERN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 N FULLER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2522
Mailing Address - Country:US
Mailing Address - Phone:323-984-7641
Mailing Address - Fax:818-566-7500
Practice Address - Street 1:1721 W MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1839
Practice Address - Country:US
Practice Address - Phone:818-566-7262
Practice Address - Fax:818-566-7500
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist