Provider Demographics
NPI:1750028726
Name:KASIMOGLU, HALIL IBRAHIM (PHARM D)
Entity Type:Individual
Prefix:
First Name:HALIL
Middle Name:IBRAHIM
Last Name:KASIMOGLU
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 1:675 E STREET RD APT 2302
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3523
Mailing Address - Country:US
Mailing Address - Phone:026-779-7625
Mailing Address - Fax:
Practice Address - Street 1:1101 S WEST END BLVD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-5207
Practice Address - Country:US
Practice Address - Phone:215-536-0414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456178333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy