Provider Demographics
NPI:1154604668
Name:KHALIF, ISMAEL HARUN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:ISMAEL
Middle Name:HARUN
Last Name:KHALIF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 ESTERS RD APT 2024
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-4711
Mailing Address - Country:US
Mailing Address - Phone:214-277-2929
Mailing Address - Fax:
Practice Address - Street 1:10001 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5002
Practice Address - Country:US
Practice Address - Phone:972-501-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist