Jackleen Hasaballa, R.PH

NPI #1073148524 in Glendale, New York

Provider Information

NPI Number: 1073148524
Entity Type: Individual
Name: Jackleen Hasaballa, R.PH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH
Enumeration Date: Mar 5, 2020
Last Updated: Mar 5, 2020

Practice Location

Address: 7521 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7419
Phone: (718) 366-2109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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