NPI 1003084963

Ira Hauer

Practitioner Pharmacist Shirley, NY

Practice location

Address: 800 Montauk Hwy, Shirley, NY 11967-2128
Phone: (631) 399-5252

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 029194 (NY)

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Registry record

NPI: 1003084963
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2008
Record last updated: 13 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.