Provider Demographics
NPI:1982207908
Name:PERRY, HALINA ANNA
Entity Type:Individual
Prefix:MS
First Name:HALINA
Middle Name:ANNA
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3043
Mailing Address - Country:US
Mailing Address - Phone:732-223-6360
Mailing Address - Fax:
Practice Address - Street 1:233 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3043
Practice Address - Country:US
Practice Address - Phone:732-223-6360
Practice Address - Fax:732-223-7693
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ03151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist