Provider Demographics
NPI:1932380920
Name:KABARETI, HAROUN C (RPH)
Entity type:Individual
Prefix:
First Name:HAROUN
Middle Name:C
Last Name:KABARETI
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 1:1728 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1626
Mailing Address - Country:US
Mailing Address - Phone:917-667-4830
Mailing Address - Fax:
Practice Address - Street 1:1214 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1010
Practice Address - Country:US
Practice Address - Phone:718-975-0781
Practice Address - Fax:718-975-0782
Is Sole Proprietor?:No
Enumeration Date:2007-11-18
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist