Provider Demographics
NPI:1346058757
Name:HALMI, MYASAR HUSAM (RPH)
Entity type:Individual
Prefix:
First Name:MYASAR
Middle Name:HUSAM
Last Name:HALMI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2539 MARVIN RD NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-3177
Mailing Address - Country:US
Mailing Address - Phone:360-438-3072
Mailing Address - Fax:
Practice Address - Street 1:2539 MARVIN RD NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-3177
Practice Address - Country:US
Practice Address - Phone:360-438-3072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61579164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist