NPI 1174115562

Patrick Halderman

Practitioner Pharmacy Technician Jacksonville, FL

Practice location

Address: 7431 Atlantic Blvd, Jacksonville, FL 32211-8712
Phone: (904) 722-2151

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence RPT21311 (FL)

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Registry record

NPI: 1174115562
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2021
Record last updated: 7 Feb 2021

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.