Provider Demographics
NPI:1760538847
Name:HALPERN, GARY BRUCE (RPH)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:BRUCE
Last Name:HALPERN
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Gender:M
Credentials:RPH
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Mailing Address - Street 1:914 E 13TH ST
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3602
Mailing Address - Country:US
Mailing Address - Phone:347-431-2941
Mailing Address - Fax:212-628-4034
Practice Address - Street 1:1226 LEXINGTON AVE
Practice Address - Street 2:CALIGOR RX INC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:212-369-6000
Practice Address - Fax:212-628-4034
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY028918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist