Provider Demographics
NPI:1770849762
Name:EL-CHAAR, GLADYS M (PHARMD)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:M
Last Name:EL-CHAAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PINE PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-1411
Mailing Address - Country:US
Mailing Address - Phone:516-428-7952
Mailing Address - Fax:
Practice Address - Street 1:3 PINE PARK AVE
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-1411
Practice Address - Country:US
Practice Address - Phone:516-428-7952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043255I1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist