Provider Demographics
NPI:1134352511
Name:RALLAKIS, HARALAMPOS (RPH MBA)
Entity type:Individual
Prefix:
First Name:HARALAMPOS
Middle Name:
Last Name:RALLAKIS
Suffix:
Gender:M
Credentials:RPH MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 90TH ST APT 8C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4244
Mailing Address - Country:US
Mailing Address - Phone:646-943-4012
Mailing Address - Fax:
Practice Address - Street 1:400 E 90TH ST APT 8C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4244
Practice Address - Country:US
Practice Address - Phone:646-943-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist