Provider Demographics
NPI:1205988177
Name:HATTAR, LINDA (RPH)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:HATTAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:CIARLETTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:236 WOODLANDS RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1322
Mailing Address - Country:US
Mailing Address - Phone:914-305-4459
Mailing Address - Fax:
Practice Address - Street 1:236 WOODLANDS RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1322
Practice Address - Country:US
Practice Address - Phone:914-305-4459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist