Organization
HALLERS LTC PHARMACY, INC.
Active
Other names
Haller's LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AARONDEEP BASRAI (CEO)
(510) 793-5096
Entity
Organization
Contact information
Practice address
4067 PERALTA BLVD, FREMONT, CA 94536-4849
(510) 793-5096
(510) 745-9950
Mailing address
4067 PERALTA BLVD, FREMONT, CA 94536-4849
(510) 793-5096
(510) 745-9950
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/07/2019
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