Provider Demographics
NPI:1750747366
Name:HALIM CORP
Entity type:Organization
Organization Name:HALIM CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TAZRUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:KABIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-316-1774
Mailing Address - Street 1:17004 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4547
Mailing Address - Country:US
Mailing Address - Phone:718-297-1927
Mailing Address - Fax:718-297-3027
Practice Address - Street 1:17004 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4547
Practice Address - Country:US
Practice Address - Phone:718-297-1927
Practice Address - Fax:718-297-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034222333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY034222OtherPHARMACY